Provider Demographics
NPI:1770699548
Name:GALVAN-COLSON, JANE (MSW)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:GALVAN-COLSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8000 LEE BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66206
Mailing Address - Country:US
Mailing Address - Phone:913-341-7447
Mailing Address - Fax:913-341-7262
Practice Address - Street 1:8000 LEE BLVD
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66206-1217
Practice Address - Country:US
Practice Address - Phone:913-341-7447
Practice Address - Fax:913-341-7262
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLSCSW19481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS26554013OtherBLUE CROSS/BLUE SHIELD
KS26554013OtherBLUE CROSS/BLUE SHIELD
KS000A312Medicare ID - Type Unspecified