NPI 1790530434

Shannon Bowerman Lavigne, PHD

Practitioner Clinical Neuropsychologist Wichita, KS

Practice location

Address: 8533 E 32nd St N, Wichita, KS 67226-2611
Phone: (952) 221-9830
Mailing address: 8431 Fredericksburg Rd, San Antonio, TX 78229-3392

Registered specialties

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 3178-T (KS)

Other Clinical Neuropsychologist providers in Kansas →

Registry record

NPI: 1790530434
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Apr 2024
Record last updated: 17 Apr 2024

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.