Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUDY ADDISON, LMLP, LCP
ActiveAdult Development & Aging Psychologist · WICHITA, KS
Registration Details
- NPI Number
- 1205876158
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2006 (19.869408965278 yrs)
- Last Updated
- Sep 11, 2025
- Licenses
-
0376 (KS)037 (KS)
Practice Information
- Address
-
1919 N AMIDON AVESUITE 130WICHITA, KS, 672032117Browse KS providers · Browse ZIP 67203
- Phone
- 3166607675
- Fax
- 3168321571
- Primary Specialty
-
Adult Development & Aging Psychologist
103TA0700X
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.