Provider Demographics
NPI:1316601453
Name:JULIA A AHRENS PHD PA
Entity Type:Organization
Organization Name:JULIA A AHRENS PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:AHRENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-369-0121
Mailing Address - Street 1:9200 INDIAN CREEK PKWY STE 660
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2097
Mailing Address - Country:US
Mailing Address - Phone:133-690-1219
Mailing Address - Fax:816-227-6931
Practice Address - Street 1:7211 W 98TH TER STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2257
Practice Address - Country:US
Practice Address - Phone:913-369-0121
Practice Address - Fax:816-227-6931
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-25
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty