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Individual

DR. LYMAN THAIR RATE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4101 SOUTH 4TH STREET TRAFFICWAY, LEAVENWORTH, KS 66048
(913) 682-2000
Mailing address
2720 OLD CREEK CT, LEAVENWORTH, KS 66048-4398
(913) 651-6948

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
6301001320
MI

Other

Enumeration date
07/10/2006
Last updated
07/08/2007
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