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NPI Code Detail

MEDICARE: SANDRA ELLEN EPPERSON M.A., L.P.C.

MEDICARE: SANDRA ELLEN EPPERSON M.A., L.P.C.
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
1101YM0800XMental Health CounselorCS001985MO

General Provider Information

NPI Number : 1295842227
Entity Type Code : Individual
Provider Name (Legal Business Name) : SANDRA ELLEN EPPERSON M.A., L.P.C.
Provider Business Mailing Address
First Line : 3805 N OAK TRFY
Second Line : SUITE H
City : KANSAS CITY
State : MO
Zip : 64116-2611
Country : US
Telephone Number : 816-454-5525
Fax Number : 816-453-5981
Provider Business Practice Location Address
First Line : 3805 N OAK TRFY
Second Line : SUITE H
City : KANSAS CITY
State : MO
Zip : 64116-2611
Country : US
Telephone Number : 816-454-5525
Fax Number : 816-453-5981
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 07/08/2007

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