Dave L Provorse, PHD - Psychologist in Emporia, KS

Dave L Provorse, PHD is a Psychologist - Clinical based in Emporia, Kansas. Dave L Provorse is licensed to practice in Kansas (license number 1038) and his current practice location is 1000 Lincoln St, Emporia, Kansas. He can be reached at his office (for appointments etc.) via phone at (620) 343-2211.

NPI number for Dave L Provorse is 1083828651 and his current mailing address is 1000 Lincoln St, Emporia, Kansas. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083828651.

Contact Information

Dave L Provorse, PHD
1000 Lincoln St,
Emporia, KS 66801-2449
(620) 343-2211
Not Available



Healthcare Provider's Profile

Full NameDave L Provorse
GenderMale
SpecialityPsychologist - Clinical
Location1000 Lincoln St, Emporia, Kansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1083828651
  • Provider Enumeration Date: 05/10/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dave L Provorse such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083828651NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 1038 (Kansas)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dave L Provorse is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dave L Provorse, PHD
1000 Lincoln St,
Emporia, KS 66801-2449

Ph: (620) 343-2211
Dave L Provorse, PHD
1000 Lincoln St,
Emporia, KS 66801-2449

Ph: (620) 343-2211

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› Verified 2 days ago


Psychologist in Emporia, KS

Samantha Thibodeau,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Lincoln St, Emporia, KS 66801
Phone: 620-343-2211    Fax: 620-342-1021
Tegan Jae Fanders, T-LMLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Lincoln St, Emporia, KS 66801
Phone: 620-343-2211    
Megan Mcnutt,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Lincoln St, Emporia, KS 66801
Phone: 620-343-2211    Fax: 620-342-1021
Jayme Collins, LCP, LMLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Lincoln St, Emporia, KS 66801
Phone: 620-343-2211    
Kristi Gildner,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Lincoln St, Emporia, KS 66801
Phone: 620-343-2211    Fax: 620-342-1021
Ms. Kathleen A Phillips, RN,LMLP,LCP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Lincoln St, Emporia, KS 66801
Phone: 620-343-2211    Fax: 620-342-1021

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