Individual
BRENDA L TRAMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCP
Contact information
Practice address
6611 E CENTRAL AVE STE C, WICHITA, KS 67206-1937
(316) 993-2715
(866) 316-4467
Mailing address
6611 E CENTRAL AVE STE C, WICHITA, KS 67206-1937
(316) 993-2715
(866) 316-4467
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1457
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200430940F
—
KS
01
—
392674
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/04/2006
Last updated
09/25/2024
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