Provider Demographics
NPI:1376760124
Name:DANDA, CAROLINE ELDER (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:ELDER
Last Name:DANDA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:8340 MISSION ROAD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66206
Mailing Address - Country:US
Mailing Address - Phone:913-498-9958
Mailing Address - Fax:913-254-3338
Practice Address - Street 1:8340 MISSION RD
Practice Address - Street 2:SUITE 100
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66206-1355
Practice Address - Country:US
Practice Address - Phone:913-498-9958
Practice Address - Fax:913-254-3338
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLP1208103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical