Provider Demographics
NPI:1508580663
Name:LAPPIN, AMANDA M (PHD)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:M
Last Name:LAPPIN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4819 W 77TH ST
Mailing Address - Street 2:
Mailing Address - City:PRAIRIE VILLAGE
Mailing Address - State:KS
Mailing Address - Zip Code:66208-4317
Mailing Address - Country:US
Mailing Address - Phone:816-456-0818
Mailing Address - Fax:
Practice Address - Street 1:4819 W 77TH ST
Practice Address - Street 2:
Practice Address - City:PRAIRIE VILLAGE
Practice Address - State:KS
Practice Address - Zip Code:66208-4317
Practice Address - Country:US
Practice Address - Phone:816-456-0818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-03
Last Update Date:2022-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2021048416103TC1900X
KS03045103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling