Organization Name: | MANHATTAN MENTAL HEALTH SERVICES, LLC |
NPI Number: | 1043645781 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHRYN LOUISE TOLLE (LICENSED PSYCHOLOGIST) |
Mailing Address: | 2601 Anderson Ave Suite #201 Manhattan |
State: | KS US |
Postal Code: | 665022801 |
Phone Number: | 7855376051 |
Fax Number: | 7855376051 |
NPI Enumeration Date: | 09/12/2013 |
NPI Last Update Date: | 09/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 2069 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |