| Charissa Dawn Boldridge, TLMLP | |
|
618 Commercial St, Emporia, KS 66801-3969 | |
| (620) 343-7746 | |
| (620) 342-0745 |
| Full Name | Charissa Dawn Boldridge |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 618 Commercial St, Emporia, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578800199 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 2433 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charissa Dawn Boldridge, TLMLP 618 Commercial St, Emporia, KS 66801-3969 Ph: (620) 343-7746 | Charissa Dawn Boldridge, TLMLP 618 Commercial St, Emporia, KS 66801-3969 Ph: (620) 343-7746 |
Samantha Thibodeau, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Emporia, KS 66801 Phone: 620-343-2211 Fax: 620-342-1021 | |
Tegan Jae Fanders, T-LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Emporia, KS 66801 Phone: 620-343-2211 | |
Megan Mcnutt, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Emporia, KS 66801 Phone: 620-343-2211 Fax: 620-342-1021 | |
Dave L Provorse, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Emporia, KS 66801 Phone: 620-343-2211 | |
Jayme Collins, LCP, LMLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Emporia, KS 66801 Phone: 620-343-2211 | |
Kristi Gildner, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Emporia, KS 66801 Phone: 620-343-2211 Fax: 620-342-1021 | |
Ms. Kathleen A Phillips, RN,LMLP,LCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1000 Lincoln St, Emporia, KS 66801 Phone: 620-343-2211 Fax: 620-342-1021 |