Individual provider · Type 1 NPI

Jessica Lynn Provines, TLMLP

Clinical Psychologist · Wichita, KS

NPI number 1710083183 Active

Practice location

7570 W 21st St N
Wichita, KS 67205-1734

Call (316) 729-6555 Map

Fax (316) 634-4794

Mailing address

1545 N Hood St
Wichita, KS 67203-2846

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X997 (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 1710083183

Jessica Lynn Provines, TLMLP's National Provider Identifier is 1710083183, issued on Sep 15, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Wichita, KS. The record was last updated on Jul 8, 2007.