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Individual

HEIDI A OLIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
2432 E QUIVIRA CT, KECHI, KS 67067-8909
(301) 800-5250
Mailing address
5500 E KELLOGG DR, WICHITA, KS 67218-1607
(316) 685-2221

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP-2657
KS

Other

Enumeration date
03/20/2013
Last updated
12/17/2018
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