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General NPI Number Information
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NPI Number | 1710111299
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Entity Type | Organization
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Legal Business Name | DOW PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 05/12/2009
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Last Update Date | 11/03/2009
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Provider Practice Location Address
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Address Line | 8301 STATE LINE RD SUITE 200
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City | KANSAS CITY
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State | MO
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Zip | 64114-2025
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Country | US
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Telephone | 913-306-6268
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Fax |
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Provider Business Mailing Address
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Address Line | 8301 STATE LINE RD SUITE 200
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City | KANSAS CITY
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State | MO
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Zip | 64114-2025
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Country | US
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Telephone | 913-306-6268
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST AND OWNER
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Name | DR. JAYMEE ELIZABETH DOW
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Credential | PHD
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Telephone | 913-306-6268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 2008029002
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License Number State | MO
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