| Doctor Name: | DR. BRENT L HALDERMAN |
| NPI Number: | 1003822982 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | LP0803 |
| Business Practice Address: | 7011 W 121st St Ste 105 Overland Park, KS - 662092029 |
| Business Phone Number: | 9132622070 |
| Business Fax Number: | 9136766008 |
| Mailing Address: | 7011 W 121st St Ste 105, OVERLAND PARK |
| State: | KS |
| Postal Code: | 662092029 |
| Phone Number: | 9132622070 |
| Fax Number: | 9136766008 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 04/29/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP0803 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |