Individual
DR. RAE SEDGWICK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
311 ALLCUTT AVE, # 377, BONNER SPRINGS, KS 66012-1501
(913) 441-3800
(913) 441-3450
Mailing address
PO BOX 377, 311 ALLCUTT AVE, BONNER SPRINGS, KS 66012-0377
(913) 441-3800
(913) 441-3450
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
352
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06086011
BLUE CROSS BLUE SHIELD ID
KS
Enumeration date
01/04/2006
Last updated
07/09/2007
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