ANITA S BLAIR PSYD
Clinical Neuropsychologist
Wichita, Kansas
Provider NPI: 1821107087
Provider Information:ANITA S BLAIR PSYD
Gender: F
Not Sole Proprietor
Practice Location:
9333 E 21ST ST N WICHITA, KS 67206 US
Tel: 316-634-4700 Fax: 316-634-4770
Business Mailing Address:
9333 E 21ST ST N WICHITA, KS 67206 US
Tel: 316-634-4700 Fax: 316-634-4770
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | KS | 2740 |
N | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | WA | PY00002967 |