Provider Demographics
NPI:1497967061
Name:THOMPSON-BECK, MELISSA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:THOMPSON-BECK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4335 N SPYGLASS CIR
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-3359
Mailing Address - Country:US
Mailing Address - Phone:316-201-6493
Mailing Address - Fax:
Practice Address - Street 1:7200 W 13TH ST N
Practice Address - Street 2:STE 9
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67212-2968
Practice Address - Country:US
Practice Address - Phone:316-721-8118
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS824106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist