Individual
DR. SEAN LAUDERDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1701 S BROADWAY ST, PITTSBURG, KS 66762-5856
(620) 235-4526
(620) 235-6102
Mailing address
1701 S BROADWAY ST, PITTSBURG, KS 66762-5856
(620) 235-4526
(620) 235-6102
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
T-LP 1385
KS
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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