Provider Demographics
NPI:1790039063
Name:FELIX, LINDSEY ERINN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:ERINN
Last Name:FELIX
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 1:610 W 30TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2508
Mailing Address - Country:US
Mailing Address - Phone:708-203-8545
Mailing Address - Fax:
Practice Address - Street 1:291 W 12TH AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3409
Practice Address - Country:US
Practice Address - Phone:541-204-0319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2022-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY 60296079103G00000X
OR3053103T00000X, 103TC0700X, 103G00000X
MI6301014490103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical