Healthcare Provider Details

I. General information

NPI: 1578506713
Provider Name (Legal Business Name): WENDY A ALTON PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2006
Last Update Date: 10/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

645 EAST IRON SUITE D
SALINA KS
67401-7405
US

IV. Provider business mailing address

645 EAST IRON SUITE D
SALINA KS
67401-7405
US

V. Phone/Fax

Practice location:
  • Phone: 785-827-2600
  • Fax: 785-309-0184
Mailing address:
  • Phone: 785-827-2600
  • Fax: 785-309-0184

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberLP 0930
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: