Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | LCP 1447 | KS |
Y | 103T00000X | Psychologist | LCP 1447 | KS |
NPI | 1013337740 |
---|---|
Provider Name | Joycelyn Parish |
First Address | Topeka, KS 66610-1602 |
Second Address | Topeka, KS 66614-4116 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2014 |
Last Update Date | 21/04/2014 |