Individual
DR. STEPHEN SCOTT ILARDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1020 ANDOVER ST, LAWRENCE, KS 66049-3559
(785) 841-8463
Mailing address
1020 ANDOVER ST, LAWRENCE, KS 66049-3559
(785) 841-8463
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
965
KS
Other
Enumeration date
08/13/2007
Last updated
08/13/2007
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