Molly Johansen Petrak, MA - Psychologist in Lawrence, KS

Molly Johansen Petrak, MA is a Psychologist based in Lawrence, Kansas. Molly Johansen Petrak is licensed to practice in Kansas (license number 03179) and her current practice location is 200 Maine St Ste A, Lawrence, Kansas. She can be reached at her office (for appointments etc.) via phone at (785) 843-9192.

NPI number for Molly Johansen Petrak is 1134737646 and her current mailing address is 200 Maine St Ste A, Lawrence, Kansas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134737646.

Contact Information

Molly Johansen Petrak, MA
200 Maine St Ste A,
Lawrence, KS 66044-1396
(785) 843-9192
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMolly Johansen Petrak
GenderFemale
SpecialityPsychologist
Location200 Maine St Ste A, Lawrence, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1134737646
  • Provider Enumeration Date: 07/21/2020
  • Last Update Date: 02/13/2023

Medical Identifiers

Medical identifiers for Molly Johansen Petrak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134737646NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 03179 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Molly Johansen Petrak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Molly Johansen Petrak, MA
200 Maine St Ste A,
Lawrence, KS 66044-1396

Ph: () -
Molly Johansen Petrak, MA
200 Maine St Ste A,
Lawrence, KS 66044-1396

Ph: (785) 843-9192

Reviews and Comments


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