Individual
ALISYN EDWARDS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
934 N WATER ST, WICHITA, KS 67203-3838
(316) 660-7525
(316) 383-4590
Mailing address
635 N MAIN ST, WICHITA, KS 67203-3602
(316) 660-7600
(316) 383-7925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0169
KS
106H00000X
Marriage & Family Therapist
Primary
272
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14609
PREFERRED PLUS OF KANSAS
KS
01
—
389908
BLUE CROSS BLUE SHIELD
KS
Enumeration date
06/12/2006
Last updated
09/11/2025
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