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DR. MARC A QUILLEN PH.D

Clinical Neuropsychologist

Lawrence, Kansas

Provider NPI: 1427053784

Provider Information:
DR. MARC A QUILLEN PH.D
Gender: M
Sole Proprietor


Practice Location:
4217 BRIARWOOD DR  LAWRENCE, KS 66049 US
Tel: 785-856-0684  Fax: --

Business Mailing Address:
4217 BRIARWOOD DR  LAWRENCE, KS 66049 US
Tel: 785-856-0684  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
KS0521
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
KS0521

Other Provider Identifiers:

IssuerNumberStateType
100230310BKS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS KS - Page 1



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