Individual
TWILA L PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
8014 STATE LINE RD, 100, PRAIRIE VILLAGE, KS 66208-3723
(913) 432-2400
(913) 432-2401
Mailing address
8014 STATE LINE RD, 100, PRAIRIE VILLAGE, KS 66208-3723
(913) 432-2400
(913) 432-2401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2241
KS
103TC0700X
Clinical Psychologist
Primary
531
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08406
BCBSNE
NE
05
—
74306484826
—
NE
Enumeration date
02/12/2007
Last updated
06/24/2015
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