Individual
TAMARA R WERTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
719 AND A HALF MASSACHUSETTS, STE 127, LAWRENCE, KS 66044
(785) 393-4966
(785) 865-0105
Mailing address
719 AND A HALF MASSACHUSETTS, STE 127, LAWRENCE, KS 66044
(785) 393-4966
(785) 865-0105
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
129
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29962026
BCBS OF KANSAS CITY
—
Enumeration date
01/08/2007
Last updated
07/08/2007
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