Provider Demographics
NPI:1760493324
Name:OSBORN, NANCY C (PHD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:C
Last Name:OSBORN
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 1:901 NE INDEPENDENCE AVENUE
Mailing Address - Street 2:REDISCOVER MENTAL HEALTH SERVICES
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086
Mailing Address - Country:US
Mailing Address - Phone:816-347-3289
Mailing Address - Fax:816-246-8207
Practice Address - Street 1:901 NE INDEPENCE AVENUE
Practice Address - Street 2:REDISCOVER MENTAL HEALTH SERVICES
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086
Practice Address - Country:US
Practice Address - Phone:816-347-3289
Practice Address - Fax:816-246-8207
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR0391103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling