Individual
ANDREW LAWRENCE WHITMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LP
Contact information
Practice address
2537 EISENHOWER RD, OTTAWA, KS 66067-9482
(785) 242-3780
(785) 242-6397
Mailing address
PO BOX 677, OTTAWA, KS 66067-0677
(785) 242-3780
(785) 242-6397
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP #1894
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200564100A
—
KS
Enumeration date
11/09/2006
Last updated
11/04/2010
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