Individual
SHAWNA D WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
402 SOUTH KANSAS, CHANUTE, KS 66720
(620) 431-7890
(620) 431-7927
Mailing address
PO BOX 335, 402 SOUTH KANSAS, CHANUTE, KS 66720
(620) 431-7890
(620) 431-7927
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
1236
KS
103TC0700X
Clinical Psychologist
Primary
LP1236
KS
103TC2200X
Clinical Child & Adolescent Psychologist
LP1236
KS
103TM1800X
Intellectual & Developmental Disabilities Psychologist
LP1236
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119837
BLUE SHIELD
KS
Enumeration date
01/17/2007
Last updated
05/09/2014
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