Individual
CLAYTON BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 S BROADWAY ST, WICHITA, KS 67202-4304
(316) 660-9600
(316) 660-9669
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 660-7510
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
2340
KS
106H00000X
Marriage & Family Therapist
Primary
875
KS
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
06/15/2011
Last updated
10/27/2014
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