Organization
AMY G. DALA THERAPY
Active
Other names
Amygdala Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICE PETE (MEMBER)
(316) 258-4102
Entity
Organization
Contact information
Practice address
9513 E CHAMPIONS ST, WICHITA, KS 67226-3350
(316) 258-4102
Mailing address
9513 E CHAMPIONS ST, WICHITA, KS 67226-3350
(316) 258-4102
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
2251N0400X
Neurology Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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