NPI 1003937764

Matthew R Botkin, LCP

Practitioner Psychologist Shawnee, KS

Practice location

Address: 6440 Nieman Rd, Shawnee, KS 66203-3326
Phone: (913) 962-9955
Fax: (913) 826-1589
Mailing address: 6000 Lamar Ave STE 130, Mission, KS 66202-3234

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 157 (KS)

Other Psychologist providers in Kansas →

Registry record

NPI: 1003937764
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 Apr 2007
Record last updated: 11 May 2010

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.