| Dave L Provorse, PHD | |
|
1000 Lincoln St, Emporia, KS 66801-2449 | |
| (620) 343-2211 | |
| Not Available |
| Full Name | Dave L Provorse |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 1000 Lincoln St, Emporia, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083828651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1038 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dave L Provorse, PHD 1000 Lincoln St, Emporia, KS 66801-2449 Ph: (620) 343-2211 | Dave L Provorse, PHD 1000 Lincoln St, Emporia, KS 66801-2449 Ph: (620) 343-2211 |
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 | |
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 |