Vondracek, Debra Lynn

Vondracek, Debra Lynn is an individual health care provider with primary practice located at 1301 Ks Hwy 264 , Larned KS 67550-5353. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vondracek, Debra Lynn can be contacted via phone (620) 285-4711.

Contact Information

Primary practice address
1301 Ks Hwy 264 Larned KS 67550-5353
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP 1433 Kansas

Profile Details

NPI number 1407187180
LBN Legal business name Vondracek, Debra Lynn
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2010
Last updated Nov 22nd, 2011 - about 14 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407187180 NPPES
Kansas Other LP-1433 LICENSE NUMBER
Kansas Other T-LP 1856 LICENSE NUMBER

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