| Psychological Health Services, Llc | |
|
626 Nebraska Ave Holton KS 66436-1462 | |
| (785) 362-7000 | |
| (785) 362-7100 |
| Full Name | Psychological Health Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 626 Nebraska Ave, Holton, Kansas |
| Authorized Official Name and Position | Jessica Snyder (OWNER) |
| Authorized Official Contact | 7853627000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Health Services, Llc 626 Nebraska Ave Holton KS 66436-1462 Ph: (785) 362-7000 | Psychological Health Services, Llc 626 Nebraska Ave Holton KS 66436-1462 Ph: (785) 362-7000 |
| NPI Number | 1902304116 |
|---|---|
| Provider Enumeration Date | 01/23/2018 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902304116 | NPI | - | NPPES |
| 200556470B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1431 (Kansas) | Primary |