Individual
JAW-LIN ONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
1125 W SPRUCE ST, OLATHE, KS 66061
(913) 826-4200
Mailing address
6000 LAMAR AVE STE 130, MISSION, KS 66202-3299
(913) 826-4200
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LCP 915
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100098080C
SED WAIVER
KS
05
—
200433500A
—
KS
Enumeration date
01/10/2007
Last updated
11/26/2019
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