Provider Demographics
NPI:1295064970
Name:BANNING, LINDSEY (PHD, LP)
Entity type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:
Last Name:BANNING
Suffix:
Gender:F
Credentials:PHD, LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 MINNESOTA DR STE 204
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3673
Mailing Address - Country:US
Mailing Address - Phone:303-918-2820
Mailing Address - Fax:
Practice Address - Street 1:3003 MINNESOTA DR STE 204
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3673
Practice Address - Country:US
Practice Address - Phone:303-918-2820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-09
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3260103TC0700X
AK199420103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical