Healthcare Provider Details

I. General information

NPI: 1851212385
Provider Name (Legal Business Name): ELISABETH KATHRYN WORKMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 W OTIS AVE
SALINA KS
67401-8713
US

IV. Provider business mailing address

110 W OTIS AVE
SALINA KS
67401-8713
US

V. Phone/Fax

Practice location:
  • Phone: 785-825-0541
  • Fax: 785-825-0062
Mailing address:
  • Phone: 785-825-0541
  • Fax: 785-825-0062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number03531-T
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number03531-T
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: