Individual provider · Type 1 NPI

Michael Willis, LCP

Psychologist · Riverton, KS

NPI number 1629101506 Active

Practice location

6610 SE Quakervale Rd
Riverton, KS 66770-4185

Call (620) 848-2300 Map

Fax (620) 848-2301

Mailing address

PO Box 550
Riverton, KS 66770-0550

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X227 (KS)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1629101506

Michael Willis, LCP's National Provider Identifier is 1629101506, issued on Mar 13, 2007. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Riverton, KS. The record was last updated on Jul 8, 2007.