Individual
DARWIN L EADS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1508 N RIDGEHURST ST, WICHITA, KS 67230-7259
(316) 927-2996
Mailing address
5500 E KELLOGG DR, 589A7-BH, WICHITA, KS 67218-1607
(316) 651-3621
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
02809
MD
Other
Enumeration date
11/15/2012
Last updated
12/07/2012
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