| NPI Details | |
|---|---|
| NPI | 1013076819 |
| Gender | Female |
| Enumeration Date | 12/07/2006 |
| Last Updated | 02/11/2013 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 25955 W 327TH ST PAOLA KS, 66071-4920, US |
|
| Phone | (913) 557-9096 |
| Fax | (913) 294-9247 |
| Business Location | |
|---|---|
| PO BOX 677 OTTAWA KS, 66067-0677, US |
|
| Phone | (913) 557-9096 |
| Fax | (913) 294-9247 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101YM0800X |
| License State | Kansas |
| License Number | LPC 845 |
| Remove 1013076819 NPI Number | |
According to our database, Amy Wacker LPC NPI is 1013076819, taxonomy code is 101YM0800X and license number is LPC 845, license state is located at Kansas. Amy Wacker LPC physically located at 25955 W 327th St, Paola KS, 66071-4920. NPI Number Amy Wacker LPC has the Individual type.
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1013076819 NPI number is provided on an as is basis without warranty of any kind. 1013076819 is maintained by the National Plan & Provider Enumeration System. The contents of Amy Wacker LPC are for informational purposes only.
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