IndividualActive
Angie Hardage-Bundy, MA, LMLP
NPI 1790110583 · Clinical Psychologist · Wichita, KS
Provider details
- NPI number
- 1790110583
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- MA, LMLP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2355 (KS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
10500 E Berkeley Square Pkwy
Suite 103
Wichita, KS 67206-6815
Phone: (316) 640-1557
Fax: (316) 636-4522
Approximate (ZIP-level) locationGet directions
Mailing address
908 N Gatewood Ct
Wichita, KS 67206-4009
Registry dates
- Enumerated
- 2013-09-11
- Last updated
- 2013-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.