Mary K Egger, LPC

Individual provider Active NPI Professional Counselor · Paola, KS

NPI 1972856748 · NPPES record last updated Oct 18, 2012

Key facts

NPI
1972856748
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
2205 (KS)
Practice address
100 Lakemary Dr
Paola, KS 66071-1855
Phone
(913) 557-4000
Fax
(913) 557-4910
NPI assigned
Oct 18, 2012
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)
Yes

State licenses

LicenseStateTypeSpecialty
2205KSMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2205 KS Yes

Addresses

Primary practice location

100 Lakemary Dr
Paola, KS 66071-1855

Mailing address

100 Lakemary Dr
Paola, KS 66071-1855
Phone (913) 557-4000

Other providers in Paola, KS

All providers in Paola, KS · Professional Counselor in Kansas

Sources for this page

Verify at the official NPI Registry.