Provider Demographics
NPI:1417985169
Name:KARPOWITZ, DENNIS HANKS (PHD)
Entity Type:Individual
Prefix:DR
First Name:DENNIS
Middle Name:HANKS
Last Name:KARPOWITZ
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2224 MARVONNE RD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2328
Mailing Address - Country:US
Mailing Address - Phone:785-841-2610
Mailing Address - Fax:785-864-5696
Practice Address - Street 1:2224 MARVONNE RD
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66047-2328
Practice Address - Country:US
Practice Address - Phone:785-841-2610
Practice Address - Fax:785-864-5696
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS339103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS4957134901Medicaid
KS007064Medicare ID - Type UnspecifiedPART B PROVIDER