Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Shannon Bowerman Lavigne, PHD

Individual provider Clinical Neuropsychologist · NPI 1790530434

Dr. Shannon Bowerman Lavigne, PHD is a Clinical Psychologist in Wichita, Kansas. Qualified in 2022, 4 years ago. Practices with University of Kansas School of Medicine Wichita Medical Practice Assoc, a 54-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Kansas.

Years since qualifying
4
Licensed in
KS
In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

8533 E 32nd St N
Wichita, KS 67226-2611
Phone: (952) 221-9830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 3178-T (KS)

Record details

NPI number1790530434
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 17, 2024
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice University Of Kansas School Of Medicine Wichita Medical Practice Assoc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Wichita