| Wichita Psychological Services, Llc | |
|
8200 E 34th Street Cir N Ste 1208 Wichita KS 67226-1363 | |
| (316) 304-3800 | |
| (316) 854-3727 |
| Full Name | Wichita Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 8200 E 34th Street Cir N Ste 1208, Wichita, Kansas |
| Authorized Official Name and Position | Sonya E Padilla (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3163043800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wichita Psychological Services, Llc 8200 E 34th Street Cir N Ste 1208 Wichita KS 67226-1363 Ph: (316) 304-3800 | Wichita Psychological Services, Llc 8200 E 34th Street Cir N Ste 1208 Wichita KS 67226-1363 Ph: (316) 304-3800 |
| NPI Number | 1861175176 |
|---|---|
| Provider Enumeration Date | 08/11/2023 |
| Last Update Date | 08/11/2023 |
| Certification Date | 08/11/2023 |
| Medicare PECOS PAC ID | 5294181954 |
|---|---|
| Medicare Enrollment ID | O20231101000769 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861175176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sonya E Padilla |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376841965 PECOS PAC ID: 1052788973 Enrollment ID: I20221107001838 |
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