DANE ALAN RICHARD RAY
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1629901921- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1512 W 6TH AVE STE G, EMPORIA, KS, 668012400
- Phone
- (913) 827-8265
Specialties & Taxonomies
Psychologist, Clinical
Primary License: KS #LMLP03510
All Addresses
MAILING
502 E 12TH AVE APT S3
EMPORIA, KS, 668015265