Most Relevant Information
Provider Data
| NPI Number: | 1003018532 |
| Provider Name: | AUSTIN T DESLAURIERS PH.D |
| Entity Type: | Individual |
| Taxonomy Code: | 103TB0200X |
| Specialty: | Psychologist |
| License Number: | LP-0736 |
Most Important Dates
| Enumeration Date: | 06/05/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3111 10TH ST
SUITE 105
GREAT BEND
KS
675304271
Practice Location Phone/Fax
| Phone: | 6207925227 |
| Fax: | 6207935666 |
Provider Mailing Location
670 W BARTON COUNTY RD
GREAT BEND
KS
675309345
Provider Mailing Phone/Fax
| Phone: | 6207939662 |
| Fax: |