Search › Missouri › 103TC0700X
Colleen Fagan, PH.D
NPI 1972915379 · on the registry since 2014 · sole proprietor
Practice
- Address
- 2900 Ne 60th St Ste 205
Gladstone, MO 64119 - Phone
- (816) 694-0200
- Fax
- (888) 507-5906
- Clinicians at this address
- 11
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103TC0700X
- Licence states on file
- MO, TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-03-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri