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Contact Information

SANDRA D RADOM, PHD
5775 NW 64TH TERRACE
204
KANSAS CITY, MO64151
 Phone: 816-391-9008
 Fax: 816-746-4753
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SANDRA D RADOM · (Female)

NPI # 1841208741
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • KS License # KS645
  • MO License # MO01130
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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