Individual
MARK TOLMACHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMLP
Contact information
Practice address
201 MAIN ST, ATCHISON, KS 66002-2828
(913) 367-1593
Mailing address
500 LIMIT ST, LEAVENWORTH, KS 66048-4435
(913) 682-5118
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2732
KS
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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