Individual
DR. TARYN ACOSTA LENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3901 RAINBOW BLVD, G116 STUDENT CENTER, MAIL STOP 4006, KANSAS CITY, KS 66160-8500
(913) 588-7351
(913) 588-6597
Mailing address
3901 RAINBOW BLVD, G116 STUDENT CENTER, MAIL STOP 4006, KANSAS CITY, KS 66160-8500
(913) 588-7351
(913) 588-6597
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2412
KS
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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