Individual
LIESA KLEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
Mailing address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2611
KS
Other
Enumeration date
05/21/2014
Last updated
09/22/2025
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