Frederick J Tirrell PHD Professional Association
NPI #1013076215 in Leavenworth, Kansas
Provider Information
- NPI Number
- 1013076215
- Entity Type
- Organization
- Organization Name
- Frederick J Tirrell PHD Professional Association
- Primary Specialty
- Psychologist
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3515 S 4TH STREET
- City
- Leavenworth
- State
- Kansas
- ZIP Code
- 66048
- Phone
- (913) 651-8415
Authorized Official
- Name
- WILLIAM ALBERT MOFFITT, PHD
- Title
- VICE PRESIDENT OWNER
- Phone
- (913) 651-8415
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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