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Individual

GRACE LYONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
DEPARTMENT OF PSYCHOLOGY - WSU PSYCHOLOGY CLINIC, BOX #34, WICHITA, KS 67260-0007
(316) 978-3212
(316) 978-3086
Mailing address
DEPARTMENT OF PSYCHOLOGY - WSU PSYCHOLOGY CLINIC, BOX #34, WICHITA, KS 67260-0007
(316) 978-3212
(316) 978-3086

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
LMLP03234
KS
103TC0700X
Clinical Psychologist
Primary
LMLP03234
KS
103TC1900X
Counseling Psychologist
LMLP03234
KS

Other

Enumeration date
10/02/2023
Last updated
10/02/2023
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