Individual
MILFRED DOUGLAS DALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2201 SW 29TH STREET, TOPEKA, KS 66611
(785) 267-0025
(785) 266-6546
Mailing address
2201 SW 29TH STREET, TOPEKA, KS 66611
(785) 267-0025
(785) 266-6546
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KS706
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043057
BC/BS
KS
Enumeration date
10/25/2006
Last updated
07/08/2007
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