Provider Demographics
NPI:1982652541
Name:MCNAMARA, MONICA (PHD)
Entity Type:Individual
Prefix:DR
First Name:MONICA
Middle Name:
Last Name:MCNAMARA
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:PO BOX 25741
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66225-5741
Mailing Address - Country:US
Mailing Address - Phone:816-374-7567
Mailing Address - Fax:913-239-8709
Practice Address - Street 1:5701 W 110TH ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-2503
Practice Address - Country:US
Practice Address - Phone:816-374-7567
Practice Address - Fax:913-239-8709
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLP0941103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical