Larry A Boll, PHD Valid NPI
Individual provider · Psychologist · Wichita, KS
- NPI
- 1174633788
- Type
- Individual (Type 1)
- Primary specialty
- Psychologist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 103T00000X
- License number
- 288 (KS)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-08-30
- Last updated
- 2007-07-08
Practice location
111 S Whittier St, Suite 305
Wichita, KS 67207-1048
(316) 689-4220