Provider Demographics
NPI:1023032109
Name:RICHEY, DARYL KERRY (PHD)
Entity Type:Individual
Prefix:DR
First Name:DARYL
Middle Name:KERRY
Last Name:RICHEY
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 DELMAR LN
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-3626
Mailing Address - Country:US
Mailing Address - Phone:816-804-9261
Mailing Address - Fax:317-548-0351
Practice Address - Street 1:10000 DELMAR LN
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66207-3626
Practice Address - Country:US
Practice Address - Phone:816-804-9261
Practice Address - Fax:317-548-0351
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS943103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling