Individual
TERESA WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.P.
Contact information
Practice address
415 N POPLAR AVE, WICHITA, KS 67214-4529
(316) 686-6671
(316) 686-1094
Mailing address
620 CONESTOGA RD, MAIZE, KS 67101-9306
(316) 722-6471
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
199
KS
103TC1900X
Counseling Psychologist
Primary
0369
KS
Other
Enumeration date
10/06/2006
Last updated
09/11/2025
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