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Individual

MS. DEBRA LYNN HASTINGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LCP, LCAC

Contact information

Practice address
3420 W. 9TH ST, N., WICHITA, KS 67203-4305
(316) 285-8866
(316) 943-7195
Mailing address
3420 W. 9TH ST, N., WICHITA, KS 67203-4305
(316) 285-8866
(620) 577-4956

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
907
KS
103TC0700X
Clinical Psychologist
0678
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
389921
BLUE CROSS BLUE SHIELD
KS
01
9421
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
05/22/2006
Last updated
02/21/2025
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