| NPI | 1770802241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL LOVEJOY KURTZWEIL Psychologist 316-200-5391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP-0935) |
| Enumeration Date | 2010-05-24 |
| Last Update Date | 2021-08-17 |