| Abps | |
|
400 Shawnee St Leavenworth KS 66048-1955 | |
| (913) 206-8154 | |
| (913) 608-5756 |
| Full Name | Abps |
|---|---|
| Speciality | Psychologist |
| Location | 400 Shawnee St, Leavenworth, Kansas |
| Authorized Official Name and Position | Lisa Dyan Walsh (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 9132068154 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Abps 13115 W 74th St Shawnee KS 66216-4412 Ph: (913) 206-8154 | Abps 400 Shawnee St Leavenworth KS 66048-1955 Ph: (913) 206-8154 |
| NPI Number | 1609274430 |
|---|---|
| Provider Enumeration Date | 12/10/2014 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609274430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | 1031397 (Kansas) | Secondary |
| 103T00000X | Psychologist | 932 (Kansas) | Primary |
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