Organization
GOODHEART PSYCHOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN L GOODHEART PHD (LICENSED PSYCHOLOGIST, OPERATOR)
(785) 222-4276
Entity
Organization
Contact information
Practice address
940 N TYLER RD STE 201, WICHITA, KS 67212-3266
(316) 247-6288
(316) 444-6468
Mailing address
PO BOX 363, LA CROSSE, KS 67548-0363
(785) 222-4276
(785) 222-4277
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2180
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200589950A
—
KS
Enumeration date
05/18/2018
Last updated
03/24/2026
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