| NPI | 1881706398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNA SUE WATSON Office Manager 316-686-5195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |