MEDICARE: JANICE E MYERS PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	R0194	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	15093022	OTHER	MO	BCBS

General Provider Information

NPI Number	:	1083621734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE E MYERS PH.D.

Provider Business Mailing Address
First Line	:	7501 NW EASTSIDE DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64152-1798
Country	:	US
Telephone Number	:	816-305-8592
Fax Number	:

Provider Business Practice Location Address
First Line	:	7501 NW EASTSIDE DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64152-1798
Country	:	US
Telephone Number	:	816-305-8592
Fax Number	:	816-741-0900

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2006
Last Update Date	:	11/12/2021

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Directions to “ JANICE E MYERS PH.D.” Practice Location

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