Individual
JUDY ADDISON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMLP, LCP
Contact information
Practice address
1919 N AMIDON AVE, SUITE 130, WICHITA, KS 67203-2117
(316) 660-7675
(316) 832-1571
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
0376
KS
103TC0700X
Clinical Psychologist
037
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153213
CIGNA
KS
01
—
389892
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/08/2006
Last updated
09/11/2025
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