Provider Demographics
NPI:1285839316
Name:NEAL BARTON DEUTCH
Entity Type:Organization
Organization Name:NEAL BARTON DEUTCH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NEAL
Authorized Official - Middle Name:B
Authorized Official - Last Name:DEUTCH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:913-345-2727
Mailing Address - Street 1:8575 W 110TH ST
Mailing Address - Street 2:SUITE 326
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-1865
Mailing Address - Country:US
Mailing Address - Phone:913-345-2727
Mailing Address - Fax:913-345-1540
Practice Address - Street 1:8575 W 110TH ST
Practice Address - Street 2:SUITE 326
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-1865
Practice Address - Country:US
Practice Address - Phone:913-345-2727
Practice Address - Fax:913-345-1540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-19
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0629103T00000X
MO01185103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100238620BMedicaid
MO496800103Medicaid
KSN050000Medicare PIN
KS100238620BMedicaid