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LYLE E BAADE PHD

Clinical Neuropsychologist

Wichita, Kansas

Provider NPI: 1952378515

Provider Information:
 LYLE E BAADE PHD
Gender: M
Not Sole Proprietor

Practice Location:
7829 E ROCKHILL ST SUITE #105 WICHITA, KS 67206 US
Tel: 316-293-3850  Fax: 316-683-6733

Business Mailing Address:
1010 N KANSAS SUITE 3049 WICHITA, KS 67214 US
Tel: 316-293-2647  Fax: 316-293-1882

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
KS0460

Other Provider Identifiers:

IssuerNumberStateType
BCBS004416KS01
100237670CKS05
004416KS08
R3084902
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS KS - Page 1



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