DR. BRUCE NYSTROM, PHD
Psychologist - Clinical
Active
Individual
NPI: 1700983368
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist | 103T00000X | No | 610 (KS) |
| Psychologist - Addiction (Substance Use Disorder) | 103TA0400X | No | 610 (KS) |
| Psychologist - Adult Development & Aging | 103TA0700X | No | 610 (KS) |
| Psychologist - Cognitive & Behavioral | 103TB0200X | No | 610 (KS) |
| Psychologist - Clinical Child & Adolescent | 103TC2200X | No | 610 (KS) |
| Psychologist - Family | 103TF0000X | No | 610 (KS) |
| Psychologist - Forensic | 103TF0200X | No | 610 (KS) |
| Psychologist - Health Service | 103TH0100X | No | 610 (KS) |
| Psychologist - Group Psychotherapy | 103TP2701X | No | 610 (KS) |
| Psychologist - Clinical | 103TC0700X | Yes | 610 (KS) |
Frequently Asked Questions
NPI 1700983368 is the National Provider Identifier for DR. BRUCE NYSTROM, PHD, a Psychologist - Clinical provider located in Wichita, KS. This NPI was enumerated on September 17, 2006.
DR. BRUCE NYSTROM, PHD practices at 4013 N RIDGE RD STE 110, Wichita, KS 67205.
Quick Facts
- NPI
- 1700983368
- Type
- Individual
- Enumerated
- Sep 17, 2006
- Last Updated
- Aug 30, 2022
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