Organization · Type 2 NPI
M A Mirza, LLC
Prescribing (Medical) Psychologist · Lees Summit, MO
Practice location
4045 NE Lakewood Way, Suite 130
Lees Summit, MO 64064-1799
Fax (816) 886-2397
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Prescribing (Medical) Psychologist Primary | 103TP0016X | RICIO (MO) |
Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…
5 other providers at this address
- Bruce Eugene Rosenbaum, DDSGeneral Practice Dentistry Lees Summit, MO NPI 1134235112
- Casey S. Prough, MDPsychiatry Physician Lees Summit, MO NPI 1396723706
- Marguerite Devonne French, MDPsychiatry Physician Lees Summit, MO NPI 1871525162
- Mohammed Azher Mirza, MDPsychiatry Physician Lees Summit, MO NPI 1710067822
- Shubha Raja, M.B.B.S.Child & Adolescent Psychiatry Physician Lees Summit, MO NPI 1336355585
About NPI 1376757617
M A Mirza, LLC's National Provider Identifier is 1376757617, issued on May 9, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Lees Summit, MO. The record was last updated on Mar 21, 2014.