Jessica Lynn Provines, TLMLP
Jessica Lynn Provines, TLMLP is a Clinical Psychologist in Wichita, Kansas. Licensed in Kansas. Registered with an NPI since 2006.
- Licensed in
- KS
- In the registry since
- 2006
Practice location Address checks out
7570 W 21st St NWichita, KS 67205-1734
Phone: (316) 729-6555
Fax: (316) 634-4794
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Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 997 (KS) |
|---|
Record details
| NPI number | 1710083183 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | TLMLP |
| Sole proprietor | No |
| NPI enumerated | September 15, 2006 |
| Last updated in NPPES | July 8, 2007 |
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