Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mallory Danielle Netz, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1376197004

Mallory Danielle Netz, PHD is a Clinical Child & Adolescent Psychologist in Kansas City, Missouri. Licensed in Kansas and Missouri. Registered with an NPI since 2019.

Licensed in
KS, MO
In the registry since
2019
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2401 Gillham Rd Provider Enrollment Dept
Kansas City, MO 64108-4619
Phone: (816) 234-3000
Fax: (816) 302-9939
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X · Licence 2021011991 (MO)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence LP03068 (KS)

Record details

NPI number1376197004
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 31, 2019
Last updated in NPPESJanuary 9, 2026
Certification dateJanuary 9, 2026

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