Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRUCE NYSTROM, PHD
Active Sole ProprietorDR. BRUCE NYSTROM, PHD is a Clinical Psychologist healthcare provider located in WICHITA, Kansas. NPI 1700983368 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · WICHITA, KS
Registration Details
- NPI Number
- 1700983368
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 17, 2006 (19.934318674185 yrs)
- Last Updated
- Aug 30, 2022
- Licenses
-
610 (KS)610 (KS)610 (KS)610 (KS)610 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4013 N RIDGE RD STE 110WICHITA, KS, 672058859Browse KS providers · Browse ZIP 67205
- Phone
- 3166160260
- Fax
- 3166160264
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Addiction (Substance Use Disorder) Psychologist
- Additional Specialty
- Adult Development & Aging Psychologist
- Additional Specialty
- Cognitive & Behavioral Psychologist
- Additional Specialty
- Child, Clinical Psychologist
Other Clinical Psychologist Providers in WICHITA, KS
| Name | Credential | NPI |
|---|---|---|
| DR. KENNETH LIEBENAU | PHD | 1841293057 |
| DR. DAVID W SIMMONDS | PH D | 1194729681 |
| DR. DAVID M SEIFERT | ED D | 1497751101 |
| DR. CAROL HAMMON PAULSON | PHD, RN, ARNP | 1376518928 |
| STEPHEN KELLEY SOWARDS | PH.D. | 1336114859 |
| CLARENCE D MORGAN | PHD | 1073575775 |
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.