Individual provider · Type 1 NPI

Bruce Nystrom, PhD

Clinical Psychologist · Wichita, KS

NPI number 1700983368 Active

Practice location

4013 N Ridge Rd Ste 110
Wichita, KS 67205-8859

Fax (316) 616-0264

Mailing address

727 N Waco Ave Ste 320
Wichita, KS 67203-3972

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000X610 (KS)
Addiction (Substance Use Disorder) Psychologist 103TA0400X610 (KS)
Adult Development & Aging Psychologist 103TA0700X610 (KS)
Cognitive & Behavioral Psychologist 103TB0200X610 (KS)
Clinical Child & Adolescent Psychologist 103TC2200X610 (KS)
Family Psychologist 103TF0000X610 (KS)
Forensic Psychologist 103TF0200X610 (KS)
Health Service Psychologist 103TH0100X610 (KS)
Group Psychotherapy Psychologist 103TP2701X610 (KS)
Clinical Psychologist Primary 103TC0700X610 (KS)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1700983368

Bruce Nystrom, PhD's National Provider Identifier is 1700983368, issued on Sep 17, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Wichita, KS. The record was last updated on Aug 30, 2022.