Healthcare Provider Details

I. General information

NPI: 1821992801
Provider Name (Legal Business Name): JENNIFER IRENE SETSER MA, CCC/SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1607 N WEST ST
WICHITA KS
67203-1335
US

IV. Provider business mailing address

3906 N LAKECREST ST
WICHITA KS
67205-5230
US

V. Phone/Fax

Practice location:
  • Phone: 316-973-0620
  • Fax:
Mailing address:
  • Phone: 316-393-4792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2047
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: