Intentional Living Psychological Services Of Lawrence | |
5040 Bob Billings Pkwy Ste A1 Lawrence KS 66049-3873 | |
(785) 764-1357 | |
Not Available |
Full Name | Intentional Living Psychological Services Of Lawrence |
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Speciality | Psychologist |
Location | 5040 Bob Billings Pkwy Ste A1, Lawrence, Kansas |
Authorized Official Name and Position | John D Jacobson (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 7857641357 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Intentional Living Psychological Services Of Lawrence 243 Earhart Cir Lawrence KS 66049-4739 Ph: (785) 764-1357 | Intentional Living Psychological Services Of Lawrence 5040 Bob Billings Pkwy Ste A1 Lawrence KS 66049-3873 Ph: (785) 764-1357 |
NPI Number | 1336621853 |
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Provider Enumeration Date | 08/31/2018 |
Last Update Date | 10/27/2022 |
Certification Date | 10/27/2022 |
Identifier | Type | State | Issuer |
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1336621853 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 2599 (Kansas) | Primary |
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