DR. KENNETH LIEBENAU PHD NPI 1841293057

NPI Information

NPI: 1841293057
Provider Name: DR. KENNETH LIEBENAU, PHD
Classification: Psychologist - 103TC0700X
Entity Type: Individual

Specialization: Clinical

Address:
727 N WACO AVE
STE 320
WICHITA, KS
ZIP 67203
Phone: (316) 616-0260
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DR. Kenneth Liebenau, PHD is a clinical psychologist in Wichita, KS. The provider is 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. DR. Kenneth Liebenau, PHD NPI is 1841293057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

727 N WACO AVE
STE 320
WICHITA, KS
ZIP 67203-972
Phone: (316) 616-0260
Fax: (316) 616-0264

The enumeration date for this NPI number is 5/23/2005 and was last updated on 8/29/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	LP-1019	KANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	11890	OTHER	KANSAS	PREFERRED HEALTH SYSTEMS
2	119713	OTHER	KANSAS	BLUE CROSS BLUE SHIELD
3	119713	MEDICARE ID-TYPE UNSPECIFIED	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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