Individual
JASON BEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1845 FAIRMOUNT ST, BOX 91, WICHITA, KS 67260-0091
(316) 978-3440
Mailing address
1845 FAIRMOUNT ST, BOX 91, WICHITA, KS 67260-0091
(316) 978-3440
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2563
KS
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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