Provider Demographics
NPI:1083708127
Name:DESALVO, FRANCIS J JR (PHD, LSCSW)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:J
Last Name:DESALVO
Suffix:JR
Gender:M
Credentials:PHD, LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4206 W 13TH ST
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-3520
Mailing Address - Country:US
Mailing Address - Phone:785-864-4259
Mailing Address - Fax:785-864-5090
Practice Address - Street 1:COUNSELING AND PSYCHOLOGICAL SERVICES
Practice Address - Street 2:WATKINS HEALTH CENTER, RM. 2100
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66045-7559
Practice Address - Country:US
Practice Address - Phone:785-864-2277
Practice Address - Fax:785-864-2721
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS13261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical