Drucilla Antony

Individual provider Active NPI Counseling Psychologist · Emporia, KS

NPI 1659889376 · NPPES record last updated Jan 16, 2018

Key facts

NPI
1659889376
Entity type
Individual (NPI type 1)
Primary specialty
Counseling Psychologist 103TC1900X
License
2819 (KS)
Practice address
1000 Lincoln St
Emporia, KS 66801-2449
Phone
(620) 343-2211
NPI assigned
Jan 16, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2819KSMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 2819 KS Yes

Addresses

Primary practice location

1000 Lincoln St
Emporia, KS 66801-2449

Mailing address

1000 Lincoln St
Emporia, KS 66801-2449

Other providers in Emporia, KS

All providers in Emporia, KS · Counseling Psychologist in Kansas

Sources for this page

Verify at the official NPI Registry.