Provider Demographics
NPI:1992851190
Name:GFELLER, LORRIE LEA (PHD, LCMFT)
Entity type:Individual
Prefix:DR
First Name:LORRIE
Middle Name:LEA
Last Name:GFELLER
Suffix:
Gender:F
Credentials:PHD, LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3709 PULLMAN LNDG
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-7579
Mailing Address - Country:US
Mailing Address - Phone:785-539-7644
Mailing Address - Fax:
Practice Address - Street 1:132 N EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-3314
Practice Address - Country:US
Practice Address - Phone:785-762-4210
Practice Address - Fax:785-762-6876
Is Sole Proprietor?:No
Enumeration Date:2007-01-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLCMFT 263106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist