| NPI | 1336621853 |
|---|---|
| Doing Business As | INTENTIONAL LIVING PSYCHOLOGICAL SERVICES OF LAWRENCE |
| Entity Type | Organization |
| Authorized Contact | JOHN D JACOBSON Licensed Psychologist 785-764-1357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2599) |
| Enumeration Date | 2018-08-31 |
| Last Update Date | 2022-10-27 |