Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | LMLP 2427 | KS |
NPI | 1164767661 |
---|---|
Provider Name | Mrs. Lindsey Murray |
First Address | Overland Park, KS 66212-2555 |
Second Address | Overland Park, KS 66212-2555 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/12/2012 |
Last Update Date | 10/12/2012 |