# WICHITA GROWTH CENTER, P.A.

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

## Provider details

- **NPI number:** 1245387885
- **Authorized official:** DR. DONALD THOMAS BLASI PH.D. (DIRECTOR)
- **Authorized official phone:** (316) 684-2422

## Contact information

- **Practice address:** 641 S HILLSIDE ST, WICHITA, KS 67211-3001
- **Practice address phone:** (316) 684-2422
- **Practice address fax:** (316) 684-1210
- **Mailing address:** 641 S HILLSIDE ST, WICHITA, KS 67211-3001
- **Mailing address phone:** (316) 684-2422
- **Mailing address fax:** (316) 684-1210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 0252 | KS | Yes |

## Other

- **Enumeration date:** 01/05/2007
- **Last updated:** 08/22/2020