Stephen Michael Kanne, PHD
Psychologist, Clinical Child & Adolescent in Columbia, MO. Individual provider (NPI-1).
NPI number1780648014
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1780648014
- Entity type
- Individual (NPI-1)
- Name
- Stephen Michael Kanne
- Credential
- PHD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 13, 2006
- Certification date
- Mar 23, 2026
- Last updated
- Mar 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 2000166652 | MO | Yes |
| 103TC0700X | Psychologist, Clinical | 2000166652 | MO | |
| 103T00000X | Psychologist | 2000166652 | MO |
Practice location
701 Veterans United DrColumbia, MO 65201-4236
Phone 573-884-6052 · Fax 573-884-1151
Mailing address
Po Box 843966Kansas City, MO 64184-3966
Phone 573-884-3300 · Fax 573-884-0943
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