Individual
MICHELLE DIANNE BURCHYETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
6440 NIEMAN RD, SHAWNEE, KS 66203-3326
(913) 962-9955
(913) 826-1589
Mailing address
6000 LAMAR AVE, STE 130, MISSION, KS 66202-3234
(913) 831-2550
(913) 826-1589
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
907
KS
103T00000X
Psychologist
Primary
LCP 1442
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200450480A
—
KS
Enumeration date
04/02/2007
Last updated
08/22/2013
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