Individual
DR. DENNIS R BOWLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
5500 E KELLOGG DR, BUILDING 5, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3075
Mailing address
5500 E KELLOGG DR, BUILDING 5, WICHITA, KS 67218-1607
(316) 685-2221
(316) 634-3075
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
071005436
IL
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02220198
BLUE CROSS BLUE SHIELD
IL
01
—
1043857
CIGNA
IL
01
—
206272
MANAGED HEALTH NETWORK
IL
Enumeration date
11/09/2006
Last updated
02/03/2012
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