MEDICARE: DEBRA ANN ROBE LCMFT

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
1	106H00000X	Marriage & Family Therapist	192	KS

General Provider Information

NPI Number	:	1497895221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBRA ANN ROBE LCMFT

Provider Business Mailing Address
First Line	:	10333 E 21ST ST N
Second Line	:	STE 401
City	:	WICHITA
State	:	KS
Zip	:	67206-3543
Country	:	US
Telephone Number	:	316-866-2800
Fax Number	:	316-866-2801

Provider Business Practice Location Address
First Line	:	10333 E 21ST ST N
Second Line	:	STE 401
City	:	WICHITA
State	:	KS
Zip	:	67206-3543
Country	:	US
Telephone Number	:	316-866-2800
Fax Number	:	316-866-2801

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2007
Last Update Date	:	07/08/2007

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