Individual
KELLY MAURINE WIECHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 PETERSON RD STE 104, LAWRENCE, KS 66049-1739
(785) 371-1414
(785) 371-4519
Mailing address
3320 PETERSON RD STE 104, LAWRENCE, KS 66049-1739
(785) 371-1414
(785) 371-4519
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2980
KS
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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