Individual
ANGIE HARDAGE-BUNDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMLP
Contact information
Practice address
10500 E BERKELEY SQUARE PKWY, SUITE 103, WICHITA, KS 67206-6815
(316) 640-1557
(316) 636-4522
Mailing address
908 N GATEWOOD CT, WICHITA, KS 67206-4009
(316) 640-1557
(316) 636-4522
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2355
KS
Other
Enumeration date
09/11/2013
Last updated
12/16/2013
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