Individual
OLIVIA TIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMLP
Contact information
Practice address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 636-1188
Mailing address
7807 E FUNSTON ST, WICHITA, KS 67207-3123
(316) 530-1967
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
03400
KS
Other
Enumeration date
03/29/2025
Last updated
03/29/2025
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