DR. Colleen Fagan, PH.D.

NPI #1972915379 in Gladstone, Missouri

Provider Information

NPI Number: 1972915379
Entity Type: Individual
Name: DR. Colleen Fagan, PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PH.D.
Enumeration Date: May 20, 2014
Last Updated: Oct 3, 2024

Practice Location

Address: 2900 NE 60TH ST STE 205
City: Gladstone
State: Missouri
ZIP Code: 64119-2091
Phone: (816) 694-0200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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