Individual
DR. JILL WEIPPERT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2365 W CENTRAL AVE, EL DORADO, KS 67042-3208
(316) 321-6036
(316) 321-6336
Mailing address
2365 W CENTRAL AVE, EL DORADO, KS 67042-3208
(316) 321-6036
(316) 321-6336
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP-1226
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
391768
BC/BS
KS
01
—
6419
PHS
KS
05
—
826-2967
—
KS
Enumeration date
05/24/2006
Last updated
07/21/2022
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