Individual
PATRICIA C PURVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
8700 E 29TH STREET NORTH, WICHITA, KS 67226-2169
(316) 634-8710
(316) 634-8850
Mailing address
8700 E 29TH STREET NORTH, WICHITA, KS 67226-2169
(316) 634-8710
(316) 634-8850
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
874
KS
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0057752
PHS
KS
01
—
119728
BCBS
KS
Enumeration date
10/05/2006
Last updated
08/22/2007
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