Doctor Name: | DR. DONALD B COLSON |
NPI Number: | 1124132931 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PHD |
License Number: | LP-0300 |
Business Practice Address: | 4121 W 83rd St Suite 227 Prairie Village, KS - 662085300 |
Business Phone Number: | 9136481212 |
Business Fax Number: | 9133812522 |
Mailing Address: | 4121 West 83rd St, Suite 151 PRAIRIE VILLAGE |
State: | KS |
Postal Code: | 66208 |
Phone Number: | 9135220499 |
Fax Number: | 9133812522 |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP-0300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |