Provider Demographics
NPI:1922291525
Name:PSYCHOLOGY & COUNSELING CENTER
Entity Type:Organization
Organization Name:PSYCHOLOGY & COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:NEUFELD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:913-764-1194
Mailing Address - Street 1:511 N MURLEN RD STE A
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1208
Mailing Address - Country:US
Mailing Address - Phone:913-764-1194
Mailing Address - Fax:913-764-1195
Practice Address - Street 1:511 N MUR LEN RD STE A
Practice Address - Street 2:
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1208
Practice Address - Country:US
Practice Address - Phone:913-764-1194
Practice Address - Fax:913-764-1195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-27
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLP0341103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSA470000Medicare PIN