Provider Demographics
NPI:1164969689
Name:LOYA, MIRNA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:MIRNA
Middle Name:
Last Name:LOYA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 N AMIDON AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-2137
Mailing Address - Country:US
Mailing Address - Phone:316-285-9413
Mailing Address - Fax:316-932-1556
Practice Address - Street 1:1900 N AMIDON AVE STE 210
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2137
Practice Address - Country:US
Practice Address - Phone:316-285-9413
Practice Address - Fax:316-932-1556
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-22
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist