Doctor Name: | MRS. CAROL LOUISE DELLINGER |
NPI Number: | 1063566230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCPC |
License Number: | 027 |
Business Practice Address: | 245 Ne 30 Rd Great Bend, KS - 675309251 |
Business Phone Number: | 6207929295 |
Business Fax Number: | 6207923238 |
Mailing Address: | 3208 Main St # 4, GREAT BEND |
State: | KS |
Postal Code: | 675306727 |
Phone Number: | 6207925090 |
Fax Number: | |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 027 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |