Individual
JESSICA MODRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
719 MASSACHUSETTS ST STE 122, LAWRENCE, KS 66044-2345
(785) 214-4012
(402) 991-6228
Mailing address
719 MASSACHUSETTS ST STE 122, LAWRENCE, KS 66044-2345
(785) 214-4012
(402) 991-6228
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2497
KS
Other
Enumeration date
03/21/2013
Last updated
02/14/2019
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