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NPI Code Detail

MEDICARE: ANDREA D TURNER PHD

MEDICARE:   ANDREA D TURNER  PHD
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
1103TC0700XClinical Psychologist1737KS

General Provider Information

NPI Number : 1386834497
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA D TURNER PHD
Provider Business Mailing Address
First Line : 720 POYNTZ AVE
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-6355
Country : US
Telephone Number : 785-320-7331
Fax Number : 785-320-7338
Provider Business Practice Location Address
First Line : 720 POYNTZ AVE
Second Line :
City : MANHATTAN
State : KS
Zip : 66502-6355
Country : US
Telephone Number : 785-320-7331
Fax Number : 785-320-7338
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2007
Last Update Date : 06/07/2016

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