ELTON M SQUYRES


Address: 1017 Kentucky Street, Lawrence, KS 66044
Phone: 7853312991

ELTON M SQUYRES (NPI# 1942396825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942396825
Entity Type Individual
Full Name ELTON M SQUYRES
Credential PHD
Practice Address 1017 Kentucky Street
Lawrence
KS 66044
Mailing Address 2315 Princeton Blvd
Lawrence
KS 66049
Practice Telephone 7853312991
Mailing Telephone 7853314235
Enumeration Date 2006-10-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
LP0622 KS Behavioral Health & Social Service Providers

Office Location

Street Address 1017 KENTUCKY STREET
City LAWRENCE
State KS
Zip Code 66044

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1538615190 Atma Clinic, LLC Clinic/Center 920 Massachusetts St. Ste. 3, Lawrence, KS 66044 2016-09-01
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558968842 Ethan Eisen Psychologist 107 Lakeside Dr E, Lawrence, NY 11559-1718 2020-10-08
1750914321 Brian Patrick Russell Psychologist 730 New Hampshire St Ste 3m, Lawrence, KS 66044-3174 2020-02-21
1528300183 Jessica Modrell Psychologist 719 Massachusetts St Ste 122, Lawrence, KS 66044-2345 2013-03-21
1689945669 Alan Winder Psychological Services PC Psychologist 7 Sterling Pl, Lawrence, NY 11559-2414 2012-01-23
1205064953 Patrick James Nicholas Psychologist 1035 Vermont St, Suite C, Lawrence, KS 66044-2921 2009-07-01
1124143060 Robert Wray Barnett Psychologist 922 E 1100 Rd, Lawrence, KS 66047-9425 2007-03-20
1861578577 Joy K Rannebeck Psychologist 3109 W 27th St, Lawrence, KS 66047-3207 2006-10-27
1407954555 Pamela J. Botts Psychologist 719 Massachusetts, Lawrence, KS 66044 2006-09-20
1134144538 Jerry Lyons Psychologist 2523 Knox Dr, Lawrence, KS 66046-5636 2006-07-13
1801827183 Sarah Beth Kirk Psychologist 1415 Jayhawk Blvd, Ku Psychological Clinic, Fraser Hall, Lawrence, KS 66045-7556 2006-07-05
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Competitor

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City LAWRENCE
Zip Code 66044

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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