Healthcare Provider Details

I. General information

NPI: 1841381803
Provider Name (Legal Business Name): DEANNA KRAUS ZEILMANN PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 05/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 W KANSAS ST WESTOWNE OFFICE PARK, BUILDING 10
LIBERTY MO
64068-2036
US

IV. Provider business mailing address

1170 W KANSAS ST WESTOWNE OFFICE PARK, BUILDING 10
LIBERTY MO
64068-2036
US

V. Phone/Fax

Practice location:
  • Phone: 816-781-6634
  • Fax: 816-407-7706
Mailing address:
  • Phone: 816-781-6634
  • Fax: 816-407-7706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number2002020079
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number2002020079
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: