Provider Demographics
NPI:1528270683
Name:ABLOFF, RICHARD (PHD ABPP)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:
Last Name:ABLOFF
Suffix:
Gender:M
Credentials:PHD ABPP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6306 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64113
Mailing Address - Country:US
Mailing Address - Phone:816-444-7890
Mailing Address - Fax:816-444-8802
Practice Address - Street 1:6306 WALNUT ST
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64113
Practice Address - Country:US
Practice Address - Phone:816-444-7890
Practice Address - Fax:816-444-8802
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO00694103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist