Individual
MS. JOY K RANNEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
3109 W 27TH ST, LAWRENCE, KS 66047-3207
(785) 766-5385
Mailing address
3109 W 27TH ST, LAWRENCE, KS 66047-3207
(785) 766-5385
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
147 LCP
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098080A
—
KS
01
—
100098080C
WYANDOT CENTER SED WAIVER
KS
01
—
1629159389
WYANDOT CENTER NPI
KS
Enumeration date
10/27/2006
Last updated
05/01/2016
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