Individual
MR. SHAWN PATRICK PADGETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCP
Contact information
Practice address
801 E DOUGLAS AVE # 2, WICHITA, KS 67202-3548
(316) 315-5856
(316) 315-5701
Mailing address
801 E DOUGLAS AVE # 2, WICHITA, KS 67202-3548
(316) 315-5856
(316) 315-5701
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LCP-927
KS
103TC0700X
Clinical Psychologist
Primary
927
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200429840D
—
KS
Enumeration date
01/15/2007
Last updated
06/11/2019
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