Individual
AUSTIN T DESLAURIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
3111 10TH ST, SUITE 105, GREAT BEND, KS 67530-4271
(620) 792-5227
(620) 793-5666
Mailing address
670 W BARTON COUNTY RD, GREAT BEND, KS 67530-9345
(620) 793-9662
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
LP-0736
KS
Other
Enumeration date
06/05/2007
Last updated
07/08/2007
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