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NPI Code Detail

MEDICARE: MRS. DEENA DEMENT LMFT

MEDICARE: MRS. DEENA DEMENT LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist639KS

General Provider Information

NPI Number : 1144389669
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEENA DEMENT LMFT
Provider Business Mailing Address
First Line : 1314 WESTBROOKE ST
Second Line :
City : LAWRENCE
State : KS
Zip : 66049-4049
Country : US
Telephone Number : 913-963-7312
Fax Number :
Provider Business Practice Location Address
First Line : 8000 W 127TH ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66213-2714
Country : US
Telephone Number : 816-508-3345
Fax Number : 816-508-3321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. DEENA DEMENT LMFT” Practice Location

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