Provider Demographics
NPI:1770118051
Name:TOON, JAMES DAVID
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:DAVID
Last Name:TOON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8504 MAURER RD APT 433
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66219-1173
Mailing Address - Country:US
Mailing Address - Phone:816-226-6588
Mailing Address - Fax:
Practice Address - Street 1:3216 GILLHAM PLZ STE 210
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64109-1742
Practice Address - Country:US
Practice Address - Phone:816-226-6588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-07
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional