Amy D. Wichman, MS, LMFT-T
Individual provider Active NPI Marriage & Family Therapist · Clay Center, KS
NPI 1205069853 · NPPES record last updated Aug 31, 2009
Key facts
- NPI
- 1205069853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- T-LMFT 1074 (KS)
- Practice address
- 719 5TH St
Clay Center, KS 67432-2936 - Phone
- (785) 447-2983
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-LMFT 1074 | KS | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | T-LMFT 1074 | KS | Yes |
Addresses
Primary practice location
719 5TH St
Clay Center, KS 67432-2936
Mailing address
PO Box 425
Clay Center, KS 67432-0425
Phone (785) 447-2983
Other providers in Clay Center, KS
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- Chance Williams
- Erika Willmann
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- Parkes Wolters
- Christopher C Worthen
All providers in Clay Center, KS · Marriage & Family Therapist in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.