Doctor Name: | ANTIGONE MARIE MEANS |
NPI Number: | 1033261664 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | LP1177 |
Business Practice Address: | 304 N Jefferson Iola, KS - 66749 |
Business Phone Number: | 6203655717 |
Business Fax Number: | 6203658255 |
Mailing Address: | 304 N Jefferson, Po Box 807 IOLA |
State: | KS |
Postal Code: | 66749 |
Phone Number: | 6203655717 |
Fax Number: | 6203658255 |
NPI Enumeration Date: | 01/16/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | LP1177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |