BRADLEY W. BASE M.A.
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1710944905- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.A.
- Status
- Active
Contact & Location
- Address
- 322 S LAURA AVE, WICHITA, KS, 672111517
- Phone
- (316) 789-4193
Specialties & Taxonomies
Psychologist, Clinical
Primary License: KS #1129