Palacio, Andrew

Palacio, Andrew is an individual health care provider with primary practice located at 500 Limit St , Leavenworth KS 66048-4435. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Palacio, Andrew can be contacted via phone (913) 682-5118.

Contact Information

Primary practice address
500 Limit St Leavenworth KS 66048-4435
Phone: (913) 682-5118
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1831554260
LBN Legal business name Palacio, Andrew
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2015
Last updated Mar 17th, 2018 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831554260 NPPES
Kansas MEDICAID 48-1139846

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