NPI | 1598459000 |
---|---|
Entity Type | Organization |
Authorized Contact | BRYCE SUMMERS Lp Clinic Director 316-978-3170 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC1900X Psychologist, Counseling | |
251S00000X | |
Enumeration Date | 2023-06-07 |
Last Update Date | 2023-06-07 |