| Chris Ebberwein Ph.d., P.a. | |
|
10222 W Central Ave Ste 202 Wichita KS 67212-4613 | |
| (316) 773-9525 | |
| (316) 773-2012 |
| Full Name | Chris Ebberwein Ph.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 10222 W Central Ave Ste 202, Wichita, Kansas |
| Authorized Official Name and Position | Christopher A Ebberwein (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3167739525 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Ebberwein Ph.d., P.a. 10222 W Central Ave Ste 202 Wichita KS 67212-4613 Ph: (316) 773-9525 | Chris Ebberwein Ph.d., P.a. 10222 W Central Ave Ste 202 Wichita KS 67212-4613 Ph: (316) 773-9525 |
| NPI Number | 1659594653 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Medicare PECOS PAC ID | 5597169144 |
|---|---|
| Medicare Enrollment ID | O20210804003062 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659594653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 1136 (Kansas) | Primary |
| Provider Name | Christopher A Ebberwein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255443651 PECOS PAC ID: 7113093477 Enrollment ID: I20080910000307 |
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