Organization
FAMILY PSYCHOLOGICAL CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R LANE PH.D. (DIRECTOR)
(316) 685-9311
Entity
Organization
Contact information
Practice address
804 S OLIVER ST, WICHITA, KS 67218-2329
(316) 685-9311
(316) 685-6101
Mailing address
804 S OLIVER ST, WICHITA, KS 67218-2329
(316) 685-9311
(316) 685-6101
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
0391
KS
103TC2200X
Clinical Child & Adolescent Psychologist
0165
KS
104100000X
Social Worker
Primary
5522
KS
1041C0700X
Clinical Social Worker
0626
KS
1041C0700X
Clinical Social Worker
0683
KS
1041C0700X
Clinical Social Worker
1034
KS
106H00000X
Marriage & Family Therapist
117
KS
Other
Enumeration date
03/23/2006
Last updated
09/11/2025
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