1396827572 NPI number — BARBARA ANN CALLAWAY LCPC LCMFT

Table of content: BARBARA ANN CALLAWAY LCPC LCMFT (NPI 1396827572)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396827572 NPI number — BARBARA ANN CALLAWAY LCPC LCMFT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CALLAWAY
Provider First Name:
BARBARA
Provider Middle Name:
ANN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCPC LCMFT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MEYER
Provider Other First Name:
BARBARA
Provider Other Middle Name:
ANN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1396827572
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7315 E FRONTAGE ROAD
Provider Second Line Business Mailing Address:
SUITE 110
Provider Business Mailing Address City Name:
SHAWNEE MISSION
Provider Business Mailing Address State Name:
KS
Provider Business Mailing Address Postal Code:
66204-1658
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
913-262-1160
Provider Business Mailing Address Fax Number:
913-262-0818

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7315 E FRONTAGE RD
Provider Second Line Business Practice Location Address:
SUITE 110
Provider Business Practice Location Address City Name:
SHAWNEE MISSION
Provider Business Practice Location Address State Name:
KS
Provider Business Practice Location Address Postal Code:
66204-1658
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
913-262-1160
Provider Business Practice Location Address Fax Number:
913-262-0818
Provider Enumeration Date:
10/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  LCPC#004 , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .
  • Taxonomy code: 106H00000X , with the licence number: LCMFT , registered in the state of KS ; information, associated with the NPI states the following Primary Taxonomy Switch: "X" .

Other Provider's Identifiers (legacy, non-NPI)





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