Individual
JODY C PATTERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
6606 W CENTRAL AVE, WICHITA, KS 67212-3315
(316) 221-2661
(316) 636-1190
Mailing address
6606 W CENTRAL AVE, WICHITA, KS 67212-3315
(316) 221-2661
(316) 636-1190
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0686
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14412
PREFERRED HEALTH SYSTEMS
KS
01
—
201267
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/08/2006
Last updated
05/04/2026
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