Maddux, Michele Herzer

Maddux, Michele Herzer is an individual health care provider with primary practice located at 2401 Gillham Rd , Kansas City MO 64108-4619. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Maddux, Michele Herzer can be contacted via phone (816) 234-3000.

Contact Information

Primary practice address
2401 Gillham Rd Kansas City MO 64108-4619
Phone: (816) 234-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 2010033138 Missouri

Profile Details

NPI number 1093024424
LBN Legal business name Maddux, Michele Herzer
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2010
Last updated Aug 5th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093024424 NPPES
Missouri MEDICAID 1093024424
Missouri MEDICAID 200678230A

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