| NPI | 1043645781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAZ D MAILEY Licensed Psychologist 785-537-6051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2069) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KS 1990) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2024-01-08 |