Individual
MONTANA SIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 832-8192
(785) 843-2219
Mailing address
200 MAINE ST STE A, LAWRENCE, KS 66044-1396
(785) 832-8192
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03375
KS
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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