Healthcare Provider Details

I. General information

NPI: 1417861576
Provider Name (Legal Business Name): BRENDA FRANCIS EDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7035 SW MORRILL RD
WAKARUSA KS
66546-9650
US

IV. Provider business mailing address

537 NE SCOTLAND AVE
TOPEKA KS
66616-1140
US

V. Phone/Fax

Practice location:
  • Phone: 785-339-4750
  • Fax:
Mailing address:
  • Phone: 785-232-8090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number8457175564
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: