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NPI Code Detail

MEDICARE: INDIVIDUAL AND FAMILY SYSTEMS

MEDICARE: INDIVIDUAL AND FAMILY SYSTEMS
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1598924060
Entity Type Code : Organization
Provider Name (Legal Business Name) : INDIVIDUAL AND FAMILY SYSTEMS
Provider Business Mailing Address
First Line : 2024 N WOODLAWN ST STE 409
Second Line :
City : WICHITA
State : KS
Zip : 67208-1879
Country : US
Telephone Number : 316-689-8787
Fax Number : 316-688-9897
Provider Business Practice Location Address
First Line : 2024 N WOODLAWN ST STE 409
Second Line :
City : WICHITA
State : KS
Zip : 67208-1879
Country : US
Telephone Number : 316-689-8787
Fax Number : 316-688-9897
Authorized Official
Title or Position : DIRECTOR
Name : MISS ELEANOR KAY SHIVE
Credential : LCMFT
Telephone Number : 316-689-8787
Provider Enumeration Date : 06/09/2008
Last Update Date : 06/09/2008

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Directions to “INDIVIDUAL AND FAMILY SYSTEMS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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