Stephanie Ann Davis, PH.D.
Individual provider Active NPI Psychologist · Topeka, KS
NPI 1801835798 · NPPES record last updated Dec 7, 2016
Key facts
- NPI
- 1801835798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- LP1229 (KS)
- Practice address
- 2200 SW Gage Blvd
Topeka, KS 66622-0001 - Phone
- (785) 350-3111
- NPI assigned
- Jun 6, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP1229 | KS | MD | Psychologist |
| 1229 | KS | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Psychological Services of Lawrence and Topeka Incorporated | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LP1229 | KS | Yes |
Addresses
Primary practice location
2200 SW Gage Blvd
Topeka, KS 66622-0001
Mailing address
2200 SW Gage Blvd
Topeka, KS 66622-0001
Phone (785) 350-3111
Other names
- Stephanie Larue Davis
Other providers in Topeka, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.