Individual
DEBRA LYNN VONDRACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1301 KS HWY 264, LARNED, KS 67550-5353
(620) 285-4711
Mailing address
1301 KS HWY 264, LARNED, KS 67550-5353
(620) 285-4711
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 1433
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LP-1433
LICENSE NUMBER
KS
01
—
T-LP 1856
LICENSE NUMBER
KS
Enumeration date
01/20/2010
Last updated
11/22/2011
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