NPI 1609274430

Autism, Behavior, and Psychological Services

Organisation Psychologist Leavenworth, KS

Practice location

Address: 400 Shawnee St, Leavenworth, KS 66048-1955
Phone: (913) 206-8154
Fax: (913) 608-5756
Mailing address: 13115 W 74th St, Shawnee, KS 66216-4412

Authorised official

Name: Lisa Dyan Walsh
Title: Owner/Psychologist
Phone: (913) 206-8154

Registered specialties (2)

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 932 (KS)

Other Psychologist providers in Kansas →

Behavior Analyst

Behavioral Health & Social Service Providers Taxonomy 103K00000X Licence 1031397 (KS)

Other Behavior Analyst providers in Kansas →

Registry record

NPI: 1609274430
Entity type: Organization
NPI issued: 10 Dec 2014
Record last updated: 10 Dec 2014

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.