Individual
DR. FAYTH WALBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2401 GILLHAM RD, KANSAS CITY, MO 64108-4619
(308) 655-0842
Mailing address
2401 GILLHAM RD, PROVIDER ENROLLMENT DEPT, KANSAS CITY, MO 64108-4619
(816) 234-3000
(816) 302-9939
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
202504070
MO
103TC0700X
Clinical Psychologist
Primary
40707
TX
Other
Enumeration date
08/25/2025
Last updated
10/03/2025
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