Provider Demographics
NPI:1700191434
Name:DAVID P EHMAN PHD LLC
Entity Type:Organization
Organization Name:DAVID P EHMAN PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:EHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:816-756-1227
Mailing Address - Street 1:4700 BELLEVIEW AVE
Mailing Address - Street 2:SUITE 212
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1378
Mailing Address - Country:US
Mailing Address - Phone:816-756-1227
Mailing Address - Fax:816-756-1438
Practice Address - Street 1:4700 BELLEVIEW AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64112-1378
Practice Address - Country:US
Practice Address - Phone:816-756-1227
Practice Address - Fax:816-756-1438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-18
Last Update Date:2010-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOPY01267103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty