Provider Demographics
NPI:1912166042
Name:DURBIN, ARTHUR LYNN (LCP)
Entity Type:Individual
Prefix:MR
First Name:ARTHUR
Middle Name:LYNN
Last Name:DURBIN
Suffix:
Gender:M
Credentials:LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4745 W 136TH ST
Mailing Address - Street 2:SUITE 26
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66224-5923
Mailing Address - Country:US
Mailing Address - Phone:913-402-6020
Mailing Address - Fax:
Practice Address - Street 1:4745 W 136TH ST
Practice Address - Street 2:SUITE 26
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66224-5923
Practice Address - Country:US
Practice Address - Phone:913-402-6020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2008-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCP 124103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical