| Wichita Growth Center, P.a. | |
|
641 S Hillside St Wichita KS 67211-3001 | |
| (316) 684-2422 | |
| (316) 684-1210 |
| Full Name | Wichita Growth Center, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 641 S Hillside St, Wichita, Kansas |
| Authorized Official Name and Position | Donald Thomas Blasi (DIRECTOR) |
| Authorized Official Contact | 3166842422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wichita Growth Center, P.a. 641 S Hillside St Wichita KS 67211-3001 Ph: (316) 684-2422 | Wichita Growth Center, P.a. 641 S Hillside St Wichita KS 67211-3001 Ph: (316) 684-2422 |
| NPI Number | 1245387885 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245387885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 0252 (Kansas) | Primary |
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