Provider Demographics
NPI:1548338262
Name:ATTENTION AND LEARNING CLINIC, LLC
Entity type:Organization
Organization Name:ATTENTION AND LEARNING CLINIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:H
Authorized Official - Last Name:VOLWEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:316-558-8085
Mailing Address - Street 1:1900 N AMIDON AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-2125
Mailing Address - Country:US
Mailing Address - Phone:316-558-8085
Mailing Address - Fax:316-558-8086
Practice Address - Street 1:1900 N AMIDON AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-2125
Practice Address - Country:US
Practice Address - Phone:316-558-8085
Practice Address - Fax:316-558-8086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-01
Last Update Date:2011-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0919103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS200379300 AMedicaid
KS200379300 AMedicaid