Whalio Doctors

NPI 1013076215

Frederick J Tirrell PHD Professional Association

Organisation Psychologist Leavenworth, KS

Practice location

Address
3515 S 4th Street, Leavenworth, KS 66048
Phone
(913) 651-8415
Fax
(913) 772-8580

Authorised official

Name
William Albert Moffitt
Title
Vice President Owner
Phone
(913) 651-8415

Registered specialties

Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103T00000X

Registry record

NPI
1013076215
Entity type
Organization
NPI issued
6 Dec 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.