Most Relevant Information
Provider Data
| NPI Number: | 1003647959 |
| Provider Name: | GRACE KATHERINE PETERSON LMLP-T |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | 03326-T |
Most Important Dates
| Enumeration Date: | 08/12/2024 |
| Last Updated: | 08/12/2024 |
Provider Practice Location
7501 COLLEGE BLVD STE 250
OVERLAND PARK
KS
662102505
Practice Location Phone/Fax
| Phone: | 9134518550 |
| Fax: |
Provider Mailing Location
17630 W 83RD TER
LENEXA
KS
662198141
Provider Mailing Phone/Fax
| Phone: | 9136176953 |
| Fax: |