Provider Demographics
NPI:1083358592
Name:HUFF-POMSTRA, TERESA L (PHD)
Entity Type:Individual
Prefix:DR
First Name:TERESA
Middle Name:L
Last Name:HUFF-POMSTRA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5051 INDIAN CREEK PKWY APT 102
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66207-4103
Mailing Address - Country:US
Mailing Address - Phone:417-861-0686
Mailing Address - Fax:
Practice Address - Street 1:5110 OAK ST STE 201
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-2714
Practice Address - Country:US
Practice Address - Phone:417-861-0686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-21
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist