Individual
ELTON M SQUYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1017 KENTUCKY STREET, LAWRENCE, KS 66044
(785) 331-2991
Mailing address
2315 PRINCETON BLVD, LAWRENCE, KS 66049
(785) 331-4235
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP0622
KS
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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