Individual
SHELBY HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
T-LMLP
Contact information
Practice address
350 S BROADWAY AVE, WICHITA, KS 67202-4304
(316) 660-9600
(316) 660-9660
Mailing address
934 N WATER ST, WICHITA, KS 67203-3838
(316) 660-7600
(316) 941-5075
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2736
KS
103T00000X
Psychologist
Primary
2810
KS
Other
Enumeration date
01/05/2017
Last updated
09/29/2017
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