Individual
DR. DANIEL ROSS LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2100 W UNIVERSITY AVE, WICHITA, KS 67213-3379
(316) 295-5617
Mailing address
8919 W 10TH ST N, WICHITA, KS 67212-4018
(316) 721-1290
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LCMFT 001
KS
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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