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NPI Code Detail

MEDICARE: ANJA D FORD LMLP

MEDICARE:   ANJA D FORD  LMLP
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
1103TC1900XCounseling Psychologist1246KS
2103T00000XPsychologist1073KS

General Provider Information

NPI Number : 1972710408
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANJA D FORD LMLP
Provider Business Mailing Address
First Line : 1000 LINCOLN ST
Second Line :
City : EMPORIA
State : KS
Zip : 66801-2449
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1000 LINCOLN ST
Second Line :
City : EMPORIA
State : KS
Zip : 66801-2449
Country : US
Telephone Number : 620-343-2211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/16/2007
Last Update Date : 05/05/2026

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1043369754 — MRS. JENNIFER C WILLIAMS LCPC
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1801945563 — DALE R DENNEY LSCSW
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1457400152 — MS. MARGARET A WHEATLEY MS,LMLP,CADCI
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Directions to “ ANJA D FORD LMLP” Practice Location

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