| Laura Degrandis, Psy.d., Llc | |
|
727 N Waco Ave Wichita KS 67203-3951 | |
| (316) 616-0260 | |
| (316) 616-0264 |
| Full Name | Laura Degrandis, Psy.d., Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 727 N Waco Ave, Wichita, Kansas |
| Authorized Official Name and Position | Laura Degrandis (SOLE MEMBER) |
| Authorized Official Contact | 4803858223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Degrandis, Psy.d., Llc Po Box 515381 #9308 Los Angeles CA 90051-6681 Ph: () - | Laura Degrandis, Psy.d., Llc 727 N Waco Ave Wichita KS 67203-3951 Ph: (316) 616-0260 |
| NPI Number | 1639490543 |
|---|---|
| Provider Enumeration Date | 06/15/2010 |
| Last Update Date | 06/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639490543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | T-LP 1878 (Kansas) | Primary |
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