Doctor Name: | MARGARET ELLEN HUMPHREY |
NPI Number: | 1407829195 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, CNS, CS |
License Number: | 74446 |
Business Practice Address: | 1024 Burke St Fort Scott, KS - 667012414 |
Business Phone Number: | 6202230388 |
Business Fax Number: | 6202233474 |
Mailing Address: | 1024 Burke St, FORT SCOTT |
State: | KS |
Postal Code: | 667012414 |
Phone Number: | 6202230388 |
Fax Number: | 6202233474 |
NPI Enumeration Date: | 02/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 74446 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |