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Individual

PRISCILLA NONE WALLINGFORD

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSN, MA, PH.D., LP

Contact information

Practice address
13140 EL MONTE ST, LEAWOOD, KS 66209-4159
(913) 345-1905
(913) 345-1933
Mailing address
13140 EL MONTE DRIVE, LEAWOOD, KS 66209
(913) 345-1905
(913) 345-1933

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
1121
KS

Other

Enumeration date
06/18/2006
Last updated
07/08/2007
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