NPI 1013076215
Frederick J Tirrell PHD Professional Association
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
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.