| Tegan Jae Fanders, T-LMLP | |
|
1000 Lincoln St, Emporia, KS 66801-2449 | |
| (620) 343-2211 | |
| Not Available |
| Full Name | Tegan Jae Fanders |
|---|---|
| Gender | Female |
| Speciality | Psychologist |
| Location | 1000 Lincoln St, Emporia, Kansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073846366 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1298 (Kansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tegan Jae Fanders, T-LMLP 1000 Lincoln St, Emporia, KS 66801-2449 Ph: (620) 343-2211 | Tegan Jae Fanders, T-LMLP 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 | |
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 |