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NPI Profile for ROBERT J LACKIE in OVERLAND PARK, KS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Art Therapist |
221700000X | |||
Marriage & Family Therapist |
106H00000X |
| NPI # | 1134156961 |
|
| Status | Active | |
| Credentials | MS MA ATR LPC MFT | |
| Entity | Individual | |
| Enumeration date | 06/27/2006 | |
| Last updated | 10/22/2009 - About 17 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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ROBERT J LACKIE
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ROBERT J LACKIE, MS MA ATR LPC MFT