| Doctor Name: | DR. RAE SEDGWICK |
| NPI Number: | 1306824818 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 352 |
| Business Practice Address: | 311 Allcutt Ave # 377 Bonner Springs, KS - 660121501 |
| Business Phone Number: | 9134413800 |
| Business Fax Number: | 9134413450 |
| Mailing Address: | Po Box 377, 311 Allcutt Ave BONNER SPRINGS |
| State: | KS |
| Postal Code: | 660120377 |
| Phone Number: | 9134413800 |
| Fax Number: | 9134413450 |
| NPI Enumeration Date: | 01/04/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 352 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KS |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |