| NPI | 1013288596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY E JOHNSON Psychologist 316-337-5432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP1011) |
| Enumeration Date | 2012-01-16 |
| Last Update Date | 2012-01-16 |