Individual
MARY A WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
920 SW LANE ST, SUITE 200, TOPEKA, KS 66606-2549
(785) 233-0500
(785) 233-0660
Mailing address
920 SW LANE ST, SUITE 200, TOPEKA, KS 66606-2549
(785) 233-0500
(785) 233-0660
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1060
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
011845
BLUE CROSS BLUE SHIELD
KS
05
—
100228010A
—
KS
Enumeration date
03/10/2007
Last updated
10/16/2012
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