Local City Search for Psychiatrists, Psychologists, Therapists, Counselors and Mental Health Treatment CentersLYLE 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:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | KS | 0460 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 100237670C | KS | 05 | |
| BCBS | 004416 | KS | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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