| Doctor Name: | MR. ANDREW HAWORTH |
| NPI Number: | 1477960219 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A. |
| License Number: | 2539 |
| Business Practice Address: | 304 N Jefferson Ave Iola, KS - 667492327 |
| Business Phone Number: | 6203655717 |
| Business Fax Number: | |
| Mailing Address: | 1512 S Evergreen Ave, CHANUTE |
| State: | KS |
| Postal Code: | 667203160 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/14/2014 |
| NPI Last Update Date: | 07/14/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 2539 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |