Individual
DR. MICHAEL PAUL OHLDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LP
Contact information
Practice address
250 N ROCK RD STE 170, WICHITA, KS 67206-2287
(316) 358-7257
(316) 358-7002
Mailing address
250 N ROCK RD STE 170, WICHITA, KS 67206-2287
(316) 358-7257
(316) 358-7002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2156
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12522771
CAQH
—
05
—
2007707108
—
KS
Enumeration date
07/14/2007
Last updated
07/15/2020
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