Provider Demographics
NPI:1437218351
Name:UHLER, MANDY KAY (LMLP)
Entity Type:Individual
Prefix:MRS
First Name:MANDY
Middle Name:KAY
Last Name:UHLER
Suffix:
Gender:F
Credentials:LMLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3712 SUNSET
Mailing Address - Street 2:
Mailing Address - City:GRANTVILLE
Mailing Address - State:KS
Mailing Address - Zip Code:66642-9292
Mailing Address - Country:US
Mailing Address - Phone:913-367-4045
Mailing Address - Fax:913-367-5394
Practice Address - Street 1:1301 N 2ND
Practice Address - Street 2:
Practice Address - City:ATCHISON
Practice Address - State:KS
Practice Address - Zip Code:66002
Practice Address - Country:US
Practice Address - Phone:913-367-4045
Practice Address - Fax:913-367-5394
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS747103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical