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MELCHIZEDEK NTIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMLP

Contact information

Practice address
2000 SW GAGE BLVD, TOPEKA, KS 66604-3340
(785) 272-0778
Mailing address
3610 SW WOODVALLEY TER, TOPEKA, KS 66614-3551
(785) 217-8471

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
TLMLP 2717
KS
103TC0700X
Clinical Psychologist
Primary
LMLP2884
KS

Other

Enumeration date
05/03/2017
Last updated
04/24/2026
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