Doctor Name: | DR. ANGELA BANITT DUNCAN |
NPI Number: | 1518301753 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | T-LP 2091 |
Business Practice Address: | 4330 Shawnee Mission Pkwy Suite 136, Ms 7001 Fairway, KS - 662052522 |
Business Phone Number: | 9135887162 |
Business Fax Number: | 9135882227 |
Mailing Address: | 4330 Shawnee Mission Pkwy, Suite 136, Ms 7001 FAIRWAY |
State: | KS |
Postal Code: | 662052522 |
Phone Number: | 9135887162 |
Fax Number: | 9135882227 |
NPI Enumeration Date: | 04/18/2013 |
NPI Last Update Date: | 04/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | T-LP 2091 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |