Individual
REBEKAH STODDARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
358 N MAIN ST STE 300, WICHITA, KS 67202-1511
(316) 351-7644
(316) 351-7689
Mailing address
358 N MAIN ST STE 300, WICHITA, KS 67202-1511
(316) 351-7644
(316) 351-7689
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2728
KS
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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