| Wsu Psychology Clinic | |
|
Department Of Psychology-wsu Psychology Clinic 1845 Fairmount Street, Jabara Hall Wichita KS 67260 | |
| (316) 978-3170 | |
| (316) 978-3086 |
| Full Name | Wsu Psychology Clinic |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | Department Of Psychology-wsu Psychology Clinic, Wichita, Kansas |
| Authorized Official Name and Position | Bryce Summers (LP CLINIC DIRECTOR) |
| Authorized Official Contact | 3169783170 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wsu Psychology Clinic Department Of Psychology-wsu Psychology Clinic 1845 Fairmount St, Jabara Hall Campus Box 34 Wichita KS 67260 Ph: (316) 978-3170 | Wsu Psychology Clinic Department Of Psychology-wsu Psychology Clinic 1845 Fairmount Street, Jabara Hall Wichita KS 67260 Ph: (316) 978-3170 |
| NPI Number | 1376244830 |
|---|---|
| Provider Enumeration Date | 03/13/2023 |
| Last Update Date | 03/13/2023 |
| Certification Date | 03/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376244830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | (* (Not Available)) | Secondary |
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