Organization
KRISTIN TEASDALE PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN TEASDALE PHD (LICENSED PSYCHOLOGIST)
(785) 434-3479
Entity
Organization
Contact information
Practice address
1201 WAKARUSA DR, E2, SUITE 102, LAWRENCE, KS 66049
(913) 226-5278
Mailing address
1201 WAKARUSA DR STE E2, LAWRENCE, KS 66049-1892
(785) 434-3479
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1939
KS
Other
Enumeration date
05/10/2018
Last updated
01/19/2019
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