| Alyssa Porter Llc | |
|
3310 E Douglas Ave Wichita KS 67208-3314 | |
| (316) 617-9831 | |
| Not Available |
| Full Name | Alyssa Porter Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3310 E Douglas Ave, Wichita, Kansas |
| Authorized Official Name and Position | Alyssa Jane Porter (THERAPIT/PROVIDER) |
| Authorized Official Contact | 3166179831 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alyssa Porter Llc 3310 E Douglas Ave Wichita KS 67208-3314 Ph: (316) 617-9831 | Alyssa Porter Llc 3310 E Douglas Ave Wichita KS 67208-3314 Ph: (316) 617-9831 |
| NPI Number | 1265927503 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 06/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265927503 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4792 (Kansas) | Primary |
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