Emily Biondo, T-LMLP

Individual provider Active NPI Psychologist · Riverton, KS

NPI 1992094031 · NPPES record last updated Feb 14, 2013

Key facts

NPI
1992094031
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
2439 (KS)
Practice address
6610 SE Quakervale Rd
Riverton, KS 66770-4185
Phone
(620) 848-2300
Fax
(620) 848-2301
NPI assigned
Mar 29, 2011
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
2439KSMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Psychologist 103T00000X 2439 KS Yes

Addresses

Primary practice location

6610 SE Quakervale Rd
Riverton, KS 66770-4185

Mailing address

PO Box 550
Riverton, KS 66770-0550
Phone (620) 848-2300

Other providers in Riverton, KS

All providers in Riverton, KS · Psychologist in Kansas

Sources for this page

Verify at the official NPI Registry.