Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 2647 | KS |
NPI | 1043758303 |
---|---|
Provider Name | Greg Seuferling |
First Address | Olathe, KS 66061-5413 |
Second Address | Topeka, KS 66603-3616 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2017 |
Last Update Date | 07/02/2017 |