Connie Gaston is a Clinical in Wichita, Kansas. Connie Gaston practices all healthcare services and medical treatments related to Clinical. The NPI Number for Connie Gaston is 1750338265. The last update date is 2007-07-08.
Connie Gaston's current location address is 635 N Main St, Wichita, Kansas. You can contact this provider via phone number 3166607600 and fax number 3163837925. The mailing address for Connie Gaston is 635 N Main St, Wichita, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Connie Gaston |
|---|---|
| Address | 635 N Main St, Wichita, Kansas |
| Phone Number | 3166607600 |
| Fax Number | 3163837925 |
| Sole Proprietor | X |
| Credentials | LMLP/LCP |
NPI Number Detail
| NPI Number | 1750338265 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 635 N Main St |
|---|---|
| City | Wichita |
| State | Kansas (KS) |
| Post Code | 672033602 |
| Phone Number | 3166607600 |
| Fax Number | 3163837925 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 572 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2157275 | KS | CIGNA | |
| 389911 | KS | BLUE CROSS BLUE SHIELD | |
| 9432 | KS | PREFERRED HEALTH SYSTEMS | |
| PV119197 | KS | AMERICAN PSYCH SYSTEMS |
Post Comment/ Review Below
What is the unique identification code assigned to Connie Gaston by the Centers for Medicare & Medicaid Services?
The Connie Gaston has been issued the NPI (National Provider Identifier) 1750338265. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Connie Gaston's facilities are geographically located?
The facilities of Connie Gaston are physically situated at the following location: 635 N Main St, Wichita, KS, 672033602.
What is Connie Gaston's specialized field of practice, and what is the corresponding taxonomy classification code?
The Connie Gaston's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Connie Gaston receive its 1750338265 assignment from the Centers for Medicare & Medicaid Services?
The Connie Gaston was assigned its 1750338265 by the Centers for Medicare & Medicaid Services on 2006-05-28.
When was the information regarding Connie Gaston, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Connie Gaston, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.