Talley, Laura Gwen
Talley, Laura Gwen is an sole proprietor health care provider with primary practice located at 5200 Bob Billings Pkwy Suite 203, Lawrence KS 66049-5810. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Talley, Laura Gwen can be contacted via phone (785) 842-3681.Contact Information
Primary practice address
5200 Bob Billings Pkwy Suite 203
Lawrence KS 66049-5810
Phone: (785) 842-3681
Fax: (785) 856-7595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | LP-0913 | Kansas |
Profile Details
| NPI number | 1215976568 |
|---|---|
| LBN Legal business name | Talley, Laura Gwen |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Oct 14th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215976568 | NPPES |
| Kansas | MEDICAID | 100241830 A |
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