Individual
EVERETT DEANE DEHAVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
809 ELMHURST BLVD, SALINA, KS 67401-7405
(785) 823-6322
(785) 823-3109
Mailing address
809 ELMHURST BLVD, SALINA, KS 67401-7405
(785) 823-6322
(785) 823-3109
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 0554
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041668
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/06/2006
Last updated
04/01/2008
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