Healthcare Provider Details

I. General information

NPI: 1871406314
Provider Name (Legal Business Name): LINDSEY DAVIES EDS, NCSP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 N HIGH ST
WICHITA KS
67203-4363
US

IV. Provider business mailing address

903 S EDGEMOOR ST
WICHITA KS
67218-3337
US

V. Phone/Fax

Practice location:
  • Phone: 316-973-3500
  • Fax:
Mailing address:
  • Phone: 316-973-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number4881326384
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: