Johansen Petrak, Molly
Johansen Petrak, Molly is an individual health care provider with primary practice located at 200 Maine St Ste A , Lawrence KS 66044-1396. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Johansen Petrak, Molly can be contacted via phone (785) 843-9192.Contact Information
Primary practice address
200 Maine St Ste A
Lawrence KS 66044-1396
Phone: (785) 843-9192
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 03179 | Kansas |
Profile Details
| NPI number | 1134737646 |
|---|---|
| LBN Legal business name | Johansen Petrak, Molly |
| Credentials | Master of Arts (MA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2020 |
| Last updated | Feb 13th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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