MEDICARE: DR. LORRIE LEA GFELLER PH.D., LCMFT

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
1	106H00000X	Marriage & Family Therapist	LCMFT 263	KS

General Provider Information

NPI Number	:	1992851190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LORRIE LEA GFELLER PH.D., LCMFT

Provider Business Mailing Address
First Line	:	3709 PULLMAN LNDG
Second Line	:
City	:	MANHATTAN
State	:	KS
Zip	:	66503-7579
Country	:	US
Telephone Number	:	785-539-7644
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 N EISENHOWER DR
Second Line	:
City	:	JUNCTION CITY
State	:	KS
Zip	:	66441-3314
Country	:	US
Telephone Number	:	785-762-4210
Fax Number	:	785-762-6876

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2007
Last Update Date	:	07/08/2007

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