Healthcare Provider Details

I. General information

NPI: 1427128446
Provider Name (Legal Business Name): CAROL LYNN ADAMS PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 OLIVERS CT
LAWRENCE KS
66044-3723
US

IV. Provider business mailing address

907 OLIVERS CT
LAWRENCE KS
66044-3723
US

V. Phone/Fax

Practice location:
  • Phone: 785-969-1426
  • Fax:
Mailing address:
  • Phone: 785-969-1426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number868
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: