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Contact Information

WILLIAM A MOFFITT, PHD
3515 S 4TH STREET
PROFESSIONAL ASSOCIATION
LEAVENWORTH, KS66048
 Phone: 913-651-8415
 Fax: 913-772-8580
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WILLIAM A MOFFITT · (Male)

NPI Number 1417052614
Status Active
Credentials PHD
Entity Individual
Enumeration date 09/13/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • KS License # 675
  • MO License # R0333
  • Other 4285605 AETNA
  • Other 2008188 CIGNA
  • KS Other 19924039 BCBS OF KC KS
  • KS Other 066956 BCBS OF KS
  • KS Other 004517 GROUP BCBS
  • WI Other B011 PHYSICIAN SERVICES TRICAR
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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