Organization
EMILY J. RUNYAN LCP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EMILY JOY RUNYAN M.S., LCP (PSYCHOTHERAPIST/OWNER)
(316) 208-4700
Entity
Organization
Contact information
Practice address
4601 E DOUGLAS AVE, OFFICE 128, WICHITA, KS 67218-1031
(316) 337-5530
Mailing address
4601 E DOUGLAS AVE, OFFICE 128, WICHITA, KS 67218-1031
(316) 337-5530
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
1448
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200621080B
—
KS
Enumeration date
11/12/2014
Last updated
10/20/2016
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