Crenshaw, Wesley B
Crenshaw, Wesley B is an sole proprietor health care provider with primary practice located at 3320 Peterson Rd Family Psychological Service Llc Suite 104, Lawrence KS 66049. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Crenshaw, Wesley B can be contacted via phone (785) 371-1414.Contact Information
Primary practice address
3320 Peterson Rd Family Psychological Service Llc Suite 104
Lawrence KS 66049
Phone: (785) 371-1414
Fax: (785) 371-4519
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 0894 | Kansas |
Profile Details
| NPI number | 1205938669 |
|---|---|
| LBN Legal business name | Crenshaw, Wesley B |
| Credentials | PHD ABPP CST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 5th, 2006 |
| Last updated | Jun 6th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205938669 | NPPES |
| Kansas | MEDICAID | 100353150 A | |
| Kansas | Other | 119046 |
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