Provider Demographics
NPI:1912169285
Name:KASPAR, RICHARD CRAIG (PHD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CRAIG
Last Name:KASPAR
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6005 MARTWAY ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MISSION
Mailing Address - State:KS
Mailing Address - Zip Code:66202-3340
Mailing Address - Country:US
Mailing Address - Phone:913-262-4500
Mailing Address - Fax:913-262-4502
Practice Address - Street 1:6005 MARTWAY ST
Practice Address - Street 2:SUITE 110
Practice Address - City:MISSION
Practice Address - State:KS
Practice Address - Zip Code:66202-3340
Practice Address - Country:US
Practice Address - Phone:913-262-4500
Practice Address - Fax:913-262-4502
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2010-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0366103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical