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NPI Code Detail

MEDICARE: TY KASPER LMFT

MEDICARE:   TY  KASPER  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 Therapist1146KS

General Provider Information

NPI Number : 1548576267
Entity Type Code : Individual
Provider Name (Legal Business Name) : TY KASPER LMFT
Provider Business Mailing Address
First Line : 521 N STRATFORD LN
Second Line :
City : WICHITA
State : KS
Zip : 67206-1527
Country : US
Telephone Number : 316-789-8511
Fax Number :
Provider Business Practice Location Address
First Line : 1221 N ROCK RD STE 100
Second Line :
City : DERBY
State : KS
Zip : 67037-3675
Country : US
Telephone Number : 316-789-8511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2010
Last Update Date : 03/04/2026

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Directions to “ TY KASPER LMFT” Practice Location

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