Doctor Name: | MR. ROBERT GREY ENDRES |
NPI Number: | 1033253083 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSW |
License Number: | 005152 |
Business Practice Address: | 1508 Sw White Ridge Dr Lees Summit, MO - 640812433 |
Business Phone Number: | 8168362920 |
Business Fax Number: | 8168362923 |
Mailing Address: | 8025 Lewis Dr, LENEXA |
State: | KS |
Postal Code: | 662272215 |
Phone Number: | 9134410119 |
Fax Number: | |
NPI Enumeration Date: | 02/15/2007 |
NPI Last Update Date: | 11/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005152 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |