Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103K00000X | Behavior Analyst | 0133000088 | VA |
N | 102L00000X | Psychologist | TLMLP 2484 | KS |
N | 103T00000X | Psychologist | TLMLP 2484 | KS |
NPI | 1013171867 |
---|---|
Provider Name | Katrina Ostmeyer-Kountzman |
First Address | Basehor, KS 66007-7100 |
Second Address | Basehor, KS 66007-7100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2008 |
Last Update Date | 02/02/2015 |