Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | LCP 115 | KS |
Y | 103T00000X | Psychologist | LCP 115 | KS |
NPI | 1003921370 |
---|---|
Provider Name | Mrs. Tabitha Marie Murski |
First Address | Greensburg, KS 67054-2708 |
Second Address | Greensburg, KS 67054-2708 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2006 |
Last Update Date | 23/07/2012 |