Linda Buxbaum Bass, PHD, LCMFT

Individual provider Active NPI Marriage & Family Therapist · Kansas City, KS

NPI 1194922112 · NPPES record last updated Feb 27, 2008

Key facts

NPI
1194922112
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
358 (KS)
Practice address
155 S 18TH St
Suite 222
Kansas City, KS 66102-5642
Phone
(913) 963-0784
NPI assigned
Jul 2, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
358KSMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 358 KS Yes

Addresses

Primary practice location

155 S 18TH St
Suite 222
Kansas City, KS 66102-5642

Mailing address

307 S 9TH St
Saint Joseph, MO 64501-2714
Phone (619) 920-2677

Other providers in Kansas City, KS

All providers in Kansas City, KS · Marriage & Family Therapist in Kansas

Sources for this page

Verify at the official NPI Registry.