Individual
JOLENA KAY MAULDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
801 N MUR LEN RD, SUITE 101, OLATHE, KS 66062-1794
(713) 710-9382
(610) 643-8266
Mailing address
801 N MUR LEN RD, STE 101, OLATHE, KS 66062-1794
(913) 710-9382
(610) 643-8266
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
195
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010B
—
KS
Enumeration date
04/19/2007
Last updated
11/20/2014
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