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NPI Code Detail

MEDICARE: JESSICA M STUMPE PSYD

MEDICARE: JESSICA M STUMPE PSYD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical PsychologistLP1702KS

General Provider Information

NPI Number : 1558572594
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA M STUMPE PSYD
Provider Business Mailing Address
First Line : 1010 N KANSAS ST STE 3054
Second Line :
City : WICHITA
State : KS
Zip : 67214-3124
Country : US
Telephone Number : 316-293-2611
Fax Number : 316-293-1882
Provider Business Practice Location Address
First Line : 1001 N MINNEAPOLIS ST
Second Line :
City : WICHITA
State : KS
Zip : 67214-3127
Country : US
Telephone Number : 316-293-2647
Fax Number : 855-476-0305
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2007
Last Update Date : 10/18/2019

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Directions to “ JESSICA M STUMPE PSYD” Practice Location

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