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General NPI Number Information
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NPI Number | 1861175176
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Entity Type | Organization
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Legal Business Name | WICHITA PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 08/11/2023
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Last Update Date | 08/11/2023
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Provider Practice Location Address
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Address Line | 8200 E 34TH STREET CIR N STE 1208
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City | WICHITA
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State | KS
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Zip | 67226-1363
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Country | US
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Telephone | 316-304-3800
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Fax | 316-854-3727
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Provider Business Mailing Address
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Address Line | 8200 E 34TH STREET CIR N STE 1208
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City | WICHITA
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State | KS
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Zip | 67226-1363
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Country | US
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Telephone | 316-304-3800
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Fax | 316-854-3727
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Authorized Official
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Title or Position | OWNER/LICENSED PSYCHOLOGIST
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Name | DR. SONYA E PADILLA
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Credential | PHD
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Telephone | 316-304-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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