Provider Demographics
NPI:1508814815
Name:MONICA MCNAMARA PHD PA
Entity Type:Organization
Organization Name:MONICA MCNAMARA PHD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MONICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:816-374-7567
Mailing Address - Street 1:11184 ANTIOCH RD
Mailing Address - Street 2:# 182
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2420
Mailing Address - Country:US
Mailing Address - Phone:816-374-7567
Mailing Address - Fax:913-239-8709
Practice Address - Street 1:11184 ANTIOCH RD
Practice Address - Street 2:# 182
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2420
Practice Address - Country:US
Practice Address - Phone:816-374-7567
Practice Address - Fax:913-239-8709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-05
Last Update Date:2012-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLP0941103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty