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NPI 1710944905

IndividualActive

Bradley Base, M.A.

NPI 1710944905 · Clinical Psychologist · Wichita, KS

Provider details

NPI number: 1710944905
Entity type: Individual
Primary specialty: Clinical PsychologistBehavioral Health & Social Service Providers
Credential: M.A.
Sex: Male
Sole proprietor: Yes
License: 1129 (KS)

Specialties & taxonomies

Clinical PsychologistPrimary103TC0700XLicense 1129 (KS)
Behavioral Health & Social Service Providers

Practice location

322 S Laura Ave

Wichita, KS 67211-1517

Phone: (316) 789-4193

Approximate (ZIP-level) locationGet directions

More KS providers

Mailing address

322 S Laura Ave

Wichita, KS 67211-1517

Additional practice locations (2)

2501 N Main St
North Newton, KS 67117-9002
Phone: (316) 992-9041
3106 Main St
Parsons, KS 67357-2650
Phone: (316) 992-9041

Registry dates

Enumerated: 2006-05-01
Last updated: 2024-12-09
Certified: 2024-12-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bradley Base, M.A. — NPI 1710944905, Wichita, KS | NPI Central