Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Molly Johansen Petrak, MA

Individual provider Psychologist · NPI 1134737646

Molly Johansen Petrak, MA is a Psychologist in Lawrence, Kansas. Licensed in Kansas. Registered with an NPI since 2020.

Licensed in
KS
In the registry since
2020
What do these letters mean?
MA — Master of Arts
A graduate arts degree.

See every abbreviation used in this directory →

Practice location Address checks out

200 Maine St Ste A
Lawrence, KS 66044-1396
Phone: (785) 843-9192
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 03179 (KS)

Record details

NPI number1134737646
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA
Sole proprietorNo
NPI enumeratedJuly 21, 2020
Last updated in NPPESFebruary 13, 2023
Certification dateFebruary 13, 2023

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