Individual
MRS. COLLEEN JEAN NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
5015 E. 29TH STREET NORTH, 'ENTRANCE T', WICHITA, KS 67220
(316) 978-3289
(316) 978-7264
Mailing address
1845 FAIRMOUNT, WICHITA, KS 67260-0099
(316) 978-3289
(316) 978-7264
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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