Individual
MS. TERESA RENE SUTHERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
531 CAMPUS VIEW ST, GARDEN CITY, KS 67846-7904
(620) 275-0644
(620) 272-0239
Mailing address
613 N 12TH ST, GARDEN CITY, KS 67846-5227
(620) 275-1712
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
LCP 069
KS
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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