Milfred Douglas Dale
Psychologist
2201 Sw 29th Street
Topeka
, Kansas 66611
Milfred Douglas Dale
Psychologist
2201 Sw 29th Street
Topeka
, Kansas 66611
(785) 266-6546
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Milfred Douglas Dale
- 2201 Sw 29th Street
- Topeka, KS
- Zip : 66611
- Fax : (785) 266-6546
- Phone : (785) 267-0025
Second Address
- Milfred Douglas Dale
- 2201 Sw 29th Street
- Topeka, KS
- Zip : 66611
- Fax : (785) 266-6546
- Phone : (785) 267-0025
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | KS706 | KY |
| Y | 103T00000X | Psychologist | KS706 | KY |
National Provider Identifier
| NPI | 1003991738 |
|---|---|
| Provider Name | Milfred Douglas Dale |
| First Address | Topeka, KS 66611 |
| Second Address | Topeka, KS 66611 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/10/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 043057 | BC/BS (01) | KS |
| R31053 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.