| Cherilyn M. Desouza, M.d., P.a. | |
|
2201 S 4th St Leavenworth KS 66048-4508 | |
| (913) 772-6030 | |
| (913) 651-7070 |
| Full Name | Cherilyn M. Desouza, M.d., P.a. |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2201 S 4th St, Leavenworth, Kansas |
| Authorized Official Name and Position | Cherilyn Desouza (PRESIDENT) |
| Authorized Official Contact | 9137726030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cherilyn M. Desouza, M.d., P.a. 2201 S 4th St Leavenworth KS 66048-4508 Ph: (913) 248-9693 | Cherilyn M. Desouza, M.d., P.a. 2201 S 4th St Leavenworth KS 66048-4508 Ph: (913) 772-6030 |
| NPI Number | 1538138995 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538138995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 04-18000 (Kansas) | Primary |
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