Individual provider · NPI-1

Lana Olivo Beasley, MA CCP TLMLP

Psychologist · Lawrence, KS

NPI number1386720506
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1386720506
Entity type
Individual (NPI-1)
Name
Lana Olivo Beasley
Credential
MA CCP TLMLP
Sex
Female
Sole proprietor
No
Enumeration date
Oct 31, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X PsychologistTLMLP1046KSYes

Other names

  • Lana Suzette Olivo (Former Name)

Practice location

200 Maine
Ste A
Lawrence, KS 66044-1390

Phone 785-843-9192 · Fax 785-843-6744

Mailing address

200 Maine
Ste A
Lawrence, KS 66044-1390

Phone 785-843-9192 · Fax 785-843-6744

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