NPI | 1376244830 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYCE SUMMERS Lp Clinic Director 316-978-3170 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
Enumeration Date | 2023-03-13 |
Last Update Date | 2023-03-13 |