Individual
MS. AUTUMN L SCHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
555 N WOODLAWN ST, 3105, WICHITA, KS 67208-3645
(316) 652-2590
(316) 652-2595
Mailing address
555 N WOODLAWN ST, 3105, WICHITA, KS 67208-3645
(316) 652-2590
(316) 652-2595
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
268
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200686410A
—
KS
Enumeration date
02/11/2008
Last updated
01/09/2014
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