| NPI | 1588004014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE IVEY ATHEY Sole Proprietor 785-640-8149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 311) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: KS 311) |
| 103TF0200X Psychologist, Forensic (Licence: KS 311) | |
| Enumeration Date | 2013-06-28 |
| Last Update Date | 2013-06-28 |