Provider Demographics
NPI:1497154421
Name:KRIEGSHAUSER, KATHRYN DALY (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:DALY
Last Name:KRIEGSHAUSER
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 1:10555 MARTY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-2555
Mailing Address - Country:US
Mailing Address - Phone:913-649-8820
Mailing Address - Fax:913-649-8823
Practice Address - Street 1:10555 MARTY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2555
Practice Address - Country:US
Practice Address - Phone:913-649-8820
Practice Address - Fax:913-649-8823
Is Sole Proprietor?:No
Enumeration Date:2014-08-14
Last Update Date:2018-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLP2351103TB0200X
KSTLP2236390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral