Organization
LAURA DEGRANDIS, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA DEGRANDIS PSY.D. (SOLE MEMBER)
(480) 385-8223
Entity
Organization
Contact information
Practice address
727 N WACO AVE, WICHITA, KS 67203-3951
(316) 616-0260
(316) 616-0264
Mailing address
PO BOX 515381, #9308, LOS ANGELES, CA 90051-6681
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
T-LP 1878
KS
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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