Provider Demographics
NPI:1952337388
Name:GARNETT, DEBORAH RUTH (PHD)
Entity Type:Individual
Prefix:DR
First Name:DEBORAH
Middle Name:RUTH
Last Name:GARNETT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9229 WARD PARKWAY
Mailing Address - Street 2:SUITE 225
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64114-3311
Mailing Address - Country:US
Mailing Address - Phone:816-444-5511
Mailing Address - Fax:816-822-8058
Practice Address - Street 1:9229 WARD PARKWAY
Practice Address - Street 2:SUITE 225
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-3311
Practice Address - Country:US
Practice Address - Phone:816-444-5511
Practice Address - Fax:816-822-8058
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO01586103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO19911017OtherBLUE CROSS AND BLUE SHIEL
MO19911017OtherBLUE CROSS AND BLUE SHIEL