Basic Information
Provider Information
NPI: 1386085959
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LASH
FirstName: DANIEL
MiddleName: EDWARD
NamePrefix:  
NameSuffix:  
Credential: LMFT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 480 S ROGERS RD
Address2:  
City: OLATHE
State: KS
PostalCode: 660621706
CountryCode: US
TelephoneNumber: 9133243867
FaxNumber:  
Practice Location
Address1: 480 S ROGERS RD
Address2:  
City: OLATHE
State: KS
PostalCode: 660621706
CountryCode: US
TelephoneNumber: 9137642887
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/11/2013
LastUpdateDate: 07/11/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
106H00000X2470KSY Behavioral Health & Social Service ProvidersMarriage & Family Therapist 

No ID Information.


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