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NPI Code Detail

MEDICARE: MR. PETER GUSMAN JR. MASTER OF ARTS

MEDICARE:  MR. PETER  GUSMAN JR. MASTER OF ARTS
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
1101YP2500XProfessional Counselor2001018055MO

General Provider Information

NPI Number : 1740331966
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETER GUSMAN JR. MASTER OF ARTS
Provider Business Mailing Address
First Line : 2301 BURLINGTON ST
Second Line : SUITE 200
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3015
Country : US
Telephone Number : 816-283-3396
Fax Number :
Provider Business Practice Location Address
First Line : 2301 BURLINGTON ST
Second Line : SUITE 200
City : NORTH KANSAS CITY
State : MO
Zip : 64116-3015
Country : US
Telephone Number : 816-283-3396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2007
Last Update Date : 07/08/2007

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Directions to “ MR. PETER GUSMAN JR. MASTER OF ARTS” Practice Location

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