KIDSTLC MEDICAL SERVICS, LLC is a prescribing (medical) psychologist in Olathe, KS. The provider is a licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. KIDSTLC MEDICAL SERVICS, LLC NPI is 1912391665. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
480 S ROGERS RD
OLATHE, KS
ZIP 66062-706
Phone: (913) 324-3636
Fax: (913) 324-3894
The provider's authorized official is Gordon Docking .
The authorized official title is Ceo and has the following contact phone number (913) 324-3636.
The enumeration date for this NPI number is 3/20/2015 and was last updated on 3/20/2015.