MEDICARE: DR. BELINDA N KATHURIMA PHD, NCSP

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	103TS0200X	School Psychologist	5468338556	KS

General Provider Information

NPI Number	:	1598421430
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BELINDA N KATHURIMA PHD, NCSP

Provider Business Mailing Address
First Line	:	13111 NEBRASKA CT
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-3372
Country	:	US
Telephone Number	:	785-312-4547
Fax Number	:

Provider Business Practice Location Address
First Line	:	13111 NEBRASKA CT
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66109-3372
Country	:	US
Telephone Number	:	785-312-4547
Fax Number	:

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

Provider Enumeration Date	:	11/15/2021
Last Update Date	:	11/15/2021

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