M A MIRZA, LLC is a prescribing (medical) psychologist in Lees Summit, MO. 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has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended. M A MIRZA, LLC NPI is 1376757617. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As White Oak Psychiatric Services.
The provider's business location address is:
4045 NE LAKEWOOD WAY
SUITE 130
LEES SUMMIT, MO
ZIP 64064-799
Phone: (816) 886-2184
Fax: (816) 886-2397
The provider's authorized official is Mohammed Azher Mirza .
The authorized official title is Owner and has the following contact phone number (816) 228-5335.
The CLIA number assigned to this NPI record is 26D2064678 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/9/2007 and was last updated on 3/21/2014.