Provider Demographics
NPI:1295368777
Name:HESCHMEYER, ANNA THERESA
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:THERESA
Last Name:HESCHMEYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12310 W 119TH PL APT 427
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66213-5720
Mailing Address - Country:US
Mailing Address - Phone:805-908-5518
Mailing Address - Fax:
Practice Address - Street 1:7133 W 95TH ST STE 217
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66212-2248
Practice Address - Country:US
Practice Address - Phone:913-565-2131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2020-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS3133106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist