Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 2533 | KS |
Y | 103G00000X | Clinical Psychologist | 2533 | KS |
Y | 103TC0700X | Clinical Psychologist | 2533 | KS |
N | 225C00000X | Rehabilitation Counselor |
NPI | 1205261542 |
---|---|
Provider Name | Brenda L Murrow |
First Address | Vermillion, KS 66544-8633 |
Second Address | Marysville, KS 66508-1496 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2013 |
Last Update Date | 06/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
201129860A | (05) | KS |