Whalio Doctors

NPI 1003859042

Jeremy Paul Crosby, PSYD

Practitioner Clinical Psychologist Wichita, KS

Practice location

Address
650 N Carriage Pkwy STE 125, Wichita, KS 67208-4513
Phone
(316) 358-9104
Mailing address
5500 E Kellogg Dr, Wichita, KS 67218-1607

Registered specialties (5)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 1209 (KS)
Psychologist
Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 1209 (KS)
Addiction (Substance Use Disorder) Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TA0400X Licence 1209 (KS)
Health Service Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TH0100X Licence 1209 (KS)
Group Psychotherapy Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TP2701X Licence 1209 (KS)

Registry record

NPI
1003859042
Entity type
Individual
Sex (as registered)
Male
NPI issued
14 Jun 2006
Record last updated
20 Dec 2021

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.