NPI 1700991494

Jacci Rae Koerner, TLMLP

Practitioner Psychologist Greensburg, KS

Practice location

Address: 610 E Grant Ave, Greensburg, KS 67054-2708
Phone: (620) 723-2272
Fax: (620) 723-3450
Mailing address: 207 W Wisconsin Ave, Greensburg, KS 67054-1750

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence TLMLP 1020 (KS)

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Registry record

NPI: 1700991494
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Aug 2006
Record last updated: 8 Jul 2007

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.