Individual
MS. SHANTEL R WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMLP/LCP
Contact information
Practice address
402 E 2ND ST, STE B, WICHITA, KS 67202-2504
(316) 660-7800
(316) 941-5060
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 660-7510
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0181
KS
103TC0700X
Clinical Psychologist
0437
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2153197
CIGNA
KS
01
—
392666
BLUE CROSS BLUE SHIELD
KS
01
—
4204
PREFERRED HEALTH SYSTEMS
KS
Enumeration date
05/27/2006
Last updated
10/03/2014
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