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NPI Code Detail

MEDICARE: JULIA REYES LMFT

MEDICARE: JULIA REYES LMFT
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
1106H00000XMarriage & Family Therapist659KS

General Provider Information

NPI Number : 1346273422
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA REYES LMFT
Provider Business Mailing Address
First Line : 15914 E ROSEWOOD CT
Second Line :
City : WICHITA
State : KS
Zip : 67230-7673
Country : US
Telephone Number : 316-660-9566
Fax Number : 316-660-9660
Provider Business Practice Location Address
First Line : 7701 E KELLOGG DR
Second Line : STE. 300
City : WICHITA
State : KS
Zip : 67207-1706
Country : US
Telephone Number : 316-660-9566
Fax Number : 316-660-9660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2006
Last Update Date : 07/08/2007

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Directions to “ JULIA REYES LMFT” Practice Location

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