Provider Demographics
NPI:1568671618
Name:MYERS, JOHN DAVID (LMFT)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:DAVID
Last Name:MYERS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10500 BARKLEY ST
Mailing Address - Street 2:SUITE 216
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66212-1811
Mailing Address - Country:US
Mailing Address - Phone:913-383-3337
Mailing Address - Fax:913-381-2547
Practice Address - Street 1:10500 BARKLEY ST
Practice Address - Street 2:SUITE 216
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-1811
Practice Address - Country:US
Practice Address - Phone:913-383-3337
Practice Address - Fax:913-381-2547
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMFT714106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist