Dawn S Gettman, Llc | |
7807 E Funston St Wichita KS 67207-3123 | |
(316) 636-1188 | |
(316) 636-1190 |
Full Name | Dawn S Gettman, Llc |
---|---|
Speciality | Psychologist |
Location | 7807 E Funston St, Wichita, Kansas |
Authorized Official Name and Position | Dawn S Gettman (OWNER) |
Authorized Official Contact | 3166361188 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Dawn S Gettman, Llc 7807 E Funston St Wichita KS 67207-3123 Ph: (316) 636-1188 | Dawn S Gettman, Llc 7807 E Funston St Wichita KS 67207-3123 Ph: (316) 636-1188 |
NPI Number | 1467152504 |
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Provider Enumeration Date | 03/07/2023 |
Last Update Date | 03/07/2023 |
Certification Date | 03/07/2023 |
Medicare PECOS PAC ID | 4880068089 |
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Medicare Enrollment ID | O20230329000794 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467152504 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Dawn S Gettman |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1821195975 PECOS PAC ID: 4789773433 Enrollment ID: I20071203000351 |
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