Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 0472 | KS |
N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | 092 | KS |
NPI | 1598814295 |
---|---|
Provider Name | Ms. Celeste M Wempe |
First Address | Emporia, KS 66801-2449 |
Second Address | Emporia, KS 66801-2449 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2007 |
Last Update Date | 08/07/2007 |