Individual
MR. ROBERT J FOSSUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMLP
Contact information
Practice address
208 E 7TH ST, HAYS, KS 67601-4139
(785) 628-2871
(785) 628-1438
Mailing address
208 E 7TH ST, HAYS, KS 67601-4139
(785) 628-2871
(785) 628-1438
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1428
KS
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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