Organization
WSU PSYCHOLOGY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHELLE RENEE PATRICK PH.D. PSYCHOLOGIST (FACULTY)
(316) 978-3212
Entity
Organization
Contact information
Practice address
DEPARTMENT OF PSYCHOLOGY - WSU PSYCHOLOGY CLINIC, 1845 FAIRMOUNT ST CAMPUS, WICHITA, KS 67260
(316) 978-3170
(316) 978-3086
Mailing address
DEPARTMENT OF PSYCHOLOGY - WSU PSYCHOLOGY CLINIC, 1845 FAIRMOUNT ST CAMPUS BOX 34, WICHITA, KS 67260
(316) 978-3170
(316) 978-3086
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/07/2023
Last updated
10/08/2025
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