| Flint Hills Neuropsychology, Llc | |
|
2505 Anderson Ave Suite 101 Manhattan KS 66502-2853 | |
| (785) 236-1180 | |
| (785) 789-4048 |
| Full Name | Flint Hills Neuropsychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2505 Anderson Ave, Manhattan, Kansas |
| Authorized Official Name and Position | Christine A Durrett (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 7852361180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Flint Hills Neuropsychology, Llc 2505 Anderson Ave Suite 101 Manhattan KS 66502-2853 Ph: (785) 236-1180 | Flint Hills Neuropsychology, Llc 2505 Anderson Ave Suite 101 Manhattan KS 66502-2853 Ph: (785) 236-1180 |
| NPI Number | 1881979052 |
|---|---|
| Provider Enumeration Date | 10/19/2011 |
| Last Update Date | 08/19/2014 |
| Medicare PECOS PAC ID | 3375717606 |
|---|---|
| Medicare Enrollment ID | O20111122000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881979052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1994 (Kansas) | Primary |
| Provider Name | Christine A Durrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013160100 PECOS PAC ID: 8628242963 Enrollment ID: I20111122000509 |
| Provider Name | Carrie L Fratecelli |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427211333 PECOS PAC ID: 5092095588 Enrollment ID: I20161129000352 |
| Provider Name | Brent William Schneider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902548118 PECOS PAC ID: 0446632624 Enrollment ID: I20220804001360 |
| Provider Name | Forest Pavel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053601724 PECOS PAC ID: 8820397961 Enrollment ID: I20230105002930 |
| Provider Name | Aaron Van Gorp |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336865856 PECOS PAC ID: 0749624336 Enrollment ID: I20240222002070 |
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