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PROFESSIONAL RENEWAL CENTER PA NPI 1629220389


NPI Information

NPI: 1629220389
Provider Name: PROFESSIONAL RENEWAL CENTER PA
Classification: Psychologist - 103TB0200X
Entity Type: Organization

Specialization: Cognitive & Behavioral

Address:
1201 WAKARUSA DR
SUITE E200
LAWRENCE, KS
ZIP 66049
Phone: (785) 842-9772
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PROFESSIONAL RENEWAL CENTER PA is a cognitive and behavioral psychologist in Lawrence, KS. The provider is a psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking. PROFESSIONAL RENEWAL CENTER PA NPI is 1629220389. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1201 WAKARUSA DR
SUITE E200
LAWRENCE, KS
ZIP 66049-722
Phone: (785) 842-9772
Fax: (785) 842-5231

The provider's authorized official is Betsy Williams .
The authorized official title is Clinical Director, Owner and has the following contact phone number (785) 842-9772.

The enumeration date for this NPI number is 10/14/2008 and was last updated on 10/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & BehavioralKANSASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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