Graduated: 2015
NPI: 1932979499
Practice Locations (2)
NEURODIVERSITY CLINIC LLC
4963 NE GOODVIEW CIR
LEES SUMMIT, MO 640642491
8163794050
NEURODIVERSITY CLINIC LLC
4963 NE GOODVIEW CIR, SUITE C
LEES SUMMIT, MO 640642491
8163794050
Source: CMS National Downloadable File, September 2026.