Provider Demographics
NPI:1134415847
Name:DARDEN, ELBERT E (PHD)
Entity type:Individual
Prefix:
First Name:ELBERT
Middle Name:E
Last Name:DARDEN
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 W GREGORY BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-1140
Mailing Address - Country:US
Mailing Address - Phone:816-361-0664
Mailing Address - Fax:816-361-0677
Practice Address - Street 1:222 W GREGORY BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-1140
Practice Address - Country:US
Practice Address - Phone:816-361-0664
Practice Address - Fax:816-361-0677
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-21
Last Update Date:2011-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007028989103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical