| NPI | 1891842571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA T. HOPPER Clinical Psychologist 316-263-2351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KS LP1197) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2020-08-22 |