Individual
LAUREN BALLANTYNE-BEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 LINCOLN ST, EMPORIA, KS 66801-2449
(620) 343-2211
Mailing address
1000 LINCOLN ST, EMPORIA, KS 66801-2449
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03037
LICENSE
KS
Enumeration date
04/07/2021
Last updated
12/15/2023
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