Provider Demographics
NPI:1639660582
Name:HUBBARD, AIMEE KATHLEEN (PHD, LMFT)
Entity Type:Individual
Prefix:DR
First Name:AIMEE
Middle Name:KATHLEEN
Last Name:HUBBARD
Suffix:
Gender:F
Credentials:PHD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4710 S CEDAR CREST CT STE 200&700
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:MO
Mailing Address - Zip Code:64055-6942
Mailing Address - Country:US
Mailing Address - Phone:816-537-1350
Mailing Address - Fax:
Practice Address - Street 1:4710 S CEDAR CREST CT STE 200&700
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:MO
Practice Address - Zip Code:64055-6942
Practice Address - Country:US
Practice Address - Phone:816-537-1350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-27
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS106H00000X
MO106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist