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Contact Information

FOREST T PAVEL, PSY.D.
1301 N WAREHOUSE RD
FORT LEAVENWORTH, KS66027
 Phone: 913-758-3757
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for FOREST T PAVEL · (Male)

NPI # 1053601724
Status Active
Credentials PSY.D. (Doctor of Psychology)
Entity Individual
Enumeration date 04/14/2011
Last updated 06/19/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 6192
  • KS License # 03100
  • MO License # 2022013155
  • VA License # 0810005068
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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