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3707 Sw 6th Ave Topeka KS 66606-2084 | |
| (785) 270-4600 | |
| (785) 270-4601 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3707 Sw 6th Ave, Topeka, Kansas |
| Authorized Official Name and Position | Debra Yocum (VICE PRESIDENT) |
| Authorized Official Contact | 7853549591 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
901 Sw Garfield Ave Topeka KS 66606-1670 Ph: (785) 354-9591 | 3707 Sw 6th Ave Topeka KS 66606-2084 Ph: (785) 270-4600 |
| NPI Number | 1245390251 |
|---|---|
| Provider Enumeration Date | 12/11/2006 |
| Last Update Date | 12/19/2023 |
| Certification Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245390251 | NPI | - | NPPES |
| 100217350D | Medicaid | KS | |
| 110661 | Other | KS | PTAN |
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