# ANDOVER PSYCHOLOGICAL SERVICES PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073887345
- **Authorized official:** DR. STEPHEN P AMOS PHD (PSYCHOLOGIST)
- **Authorized official phone:** (316) 733-1980

## Contact information

- **Practice address:** 350 S FOUNTAIN ST, WICHITA, KS 67218-1326
- **Practice address phone:** (316) 733-1980
- **Practice address fax:** (316) 733-1980
- **Mailing address:** PO BOX 843, ANDOVER, KS 67002-0843
- **Mailing address phone:** (316) 733-1980
- **Mailing address fax:** (316) 733-1980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 0562 | KS | Yes |

## Other

- **Enumeration date:** 03/02/2012
- **Last updated:** 03/06/2012