Individual provider · Type 1 NPI

Molly Johansen Petrak, MA

Psychologist · Lawrence, KS

NPI number 1134737646 Active

Practice location

200 Maine St Ste A
Lawrence, KS 66044-1396

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X03179 (KS)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1134737646

Molly Johansen Petrak, MA's National Provider Identifier is 1134737646, issued on Jul 21, 2020. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Lawrence, KS. The record was last updated on Feb 13, 2023.