Organization
INTERPERSONAL ADVANCED TREATMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANISSA PFANNENSTIEL LSCSW (COO)
(785) 393-6167
Entity
Organization
Contact information
Practice address
1045 E 23RD ST, LAWRENCE, KS 66046-5003
(785) 393-6167
Mailing address
1045 E 23RD ST, LAWRENCE, KS 66046-5003
(785) 393-6167
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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