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Individual

WESLEY B CRENSHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD ABPP CST

Contact information

Practice address
3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICE LLC, SUITE 104, LAWRENCE, KS 66049
(785) 371-1414
(785) 371-4519
Mailing address
3320 PETERSON RD FAMILY PSYCHOLOGICAL SERVICE LLC, SUITE 104, LAWRENCE, KS 66049
(785) 371-1414
(785) 371-4519

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
0894
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100353150 A
KS
01
119046
BCBS OF KS
KS
Enumeration date
09/05/2006
Last updated
06/06/2022
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