Healthcare Provider Details

I. General information

NPI: 1871778217
Provider Name (Legal Business Name): RICHARD ALSPAW LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/03/2008
Last Update Date: 01/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24401 W MACARTHUR RD
GODDARD KS
67052-8713
US

IV. Provider business mailing address

24401 W MACARTHUR RD
GODDARD KS
67052-8713
US

V. Phone/Fax

Practice location:
  • Phone: 316-734-9276
  • Fax:
Mailing address:
  • Phone: 316-734-9276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License NumberLMFT 923
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: