Individual
ANTIGONE MARIE MEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
304 N JEFFERSON, IOLA, KS 66749
(620) 365-5717
(620) 365-8255
Mailing address
304 N JEFFERSON, PO BOX 807, IOLA, KS 66749
(620) 365-5717
(620) 365-8255
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP1177
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119766
BLUE SHIELD
KS
Enumeration date
01/16/2007
Last updated
07/08/2007
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