Individual
DR. CRISILDA IRIZARRY-ANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4101 S 4TH ST, LEAVENWORTH, KS 66048-5014
(913) 682-2000
Mailing address
2326 CAMBRIDGE ST, LEAVENWORTH, KS 66048-4088
(502) 802-6042
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
117390
IA
Other
Enumeration date
06/01/2023
Last updated
06/01/2023
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