Healthcare Provider Details

I. General information

NPI: 1598960627
Provider Name (Legal Business Name): URIE & URIE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2007
Last Update Date: 01/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2029 BUCHANAN ST
NORTH KANSAS CITY MO
64116-3405
US

IV. Provider business mailing address

2029 BUCHANAN ST
NORTH KANSAS CITY MO
64116-3405
US

V. Phone/Fax

Practice location:
  • Phone: 816-474-7322
  • Fax: 816-474-6202
Mailing address:
  • Phone: 816-474-7322
  • Fax: 816-474-6202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number00084
License Number StateMO
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number000236
License Number StateMO

VIII. Authorized Official

Name: MRS. CHRISTINE K URIE
Title or Position: OWNER
Credential: MSW
Phone: 816-474-7322