NPI 1003225947

Wichita State University

Organisation Community/Behavioral Health Agency Wichita, KS

Practice location

Address: 1845 Fairmount Box 91, Wichita, KS 67260-0091
Phone: (502) 821-7904

Authorised official

Name: Jason Douglas Beyer
Title: Psychology Intern
Phone: (502) 821-7904

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence 0914 (KY)

Other Community/Behavioral Health providers in Kansas →

Registry record

NPI: 1003225947
Entity type: Organization
NPI issued: 5 Aug 2014
Record last updated: 5 Aug 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.