| NPI | 1689998080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY LANCE PARKER President/Licensed Psychologist 316-250-8436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP-1045) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |