Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | LP0993 | KS |
Y | 103T00000X | Psychologist | LP0993 | KS |
NPI | 1003857004 |
---|---|
Provider Name | Barrie Arachtingi |
First Address | Lawrence, KS 66047-2195 |
Second Address | Lawrence, KS 66047-2195 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 09/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P72000 | (02) |