Organization
PSYCHE AND SOUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY CROSBY PSY D (PSYCHOLOGIST)
(316) 253-5107
Entity
Organization
Contact information
Practice address
650 N CARRIAGE PKWY STE 125, WICHITA, KS 67208-4513
(316) 927-3010
Mailing address
650 N CARRIAGE PKWY STE 125, WICHITA, KS 67208-4513
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/11/2021
Last updated
10/27/2021
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