Healthcare Provider Details

I. General information

NPI: 1356151120
Provider Name (Legal Business Name): JANE SPENCER LMLP-T
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANE CARVER

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 MASSACHUSETTS ST
LAWRENCE KS
66044-3431
US

IV. Provider business mailing address

1307 MASSACHUSETTS ST
LAWRENCE KS
66044-3431
US

V. Phone/Fax

Practice location:
  • Phone: 785-424-7770
  • Fax:
Mailing address:
  • Phone: 785-424-7770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number03367
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: