Larry A Boll is a Psychologist in Wichita, Kansas. Larry A Boll practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Larry A Boll is 1174633788. The last update date is 2007-07-08.
Larry A Boll's current location address is 111 S Whittier St, Wichita, Kansas. You can contact this provider via phone number 3166894220 and fax number 3166894221. The mailing address for Larry A Boll is 111 S Whittier St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry A Boll |
|---|---|
| Address | 111 S Whittier St, Wichita, Kansas |
| Phone Number | 3166894220 |
| Fax Number | 3166894221 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1174633788 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 111 S Whittier St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672071048 |
| Phone Number | 3166894220 |
| Fax Number | 3166894221 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 288 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7049 | KS | BC/BS |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Larry A Boll by the Centers for Medicare & Medicaid Services?
The Larry A Boll has been issued the NPI (National Provider Identifier) 1174633788, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Larry A Boll's facilities are situated?
The facilities of Larry A Boll are physically located at the following address: 111 S Whittier St, Wichita, KS, 672071048.
What is the Larry A Boll's specialty and taxonomy code?
The Larry A Boll's specialty is Psychologist, and the corresponding taxonomy code is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1174633788 to Larry A Boll?
The Larry A Boll received its 1174633788 assignment from the Centers for Medicare & Medicaid Services on 2006-08-30.
As of what date was the information pertaining to Larry A Boll, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Larry A Boll, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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