Provider Demographics
NPI:1457426983
Name:CABRERA, ALICIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:
Last Name:CABRERA
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 1:7800 CONSER ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-2827
Mailing Address - Country:US
Mailing Address - Phone:913-620-9010
Mailing Address - Fax:913-642-2677
Practice Address - Street 1:7800 CONSER ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-2827
Practice Address - Country:US
Practice Address - Phone:913-620-9010
Practice Address - Fax:913-642-2677
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS1266103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical