| NPI | 1972932168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CHRISTOPHER STALEY Clinical Psychologist 785-766-2947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS 2172) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |