Provider Demographics
NPI:1699729525
Name:HASTINGS, DEBRA LYNN (LCP, LCAC)
Entity type:Individual
Prefix:MS
First Name:DEBRA
Middle Name:LYNN
Last Name:HASTINGS
Suffix:
Gender:
Credentials:LCP, LCAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3420 W. 9TH ST, N.
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-4305
Mailing Address - Country:US
Mailing Address - Phone:316-285-8866
Mailing Address - Fax:620-577-4956
Practice Address - Street 1:3420 W. 9TH ST, N.
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-4305
Practice Address - Country:US
Practice Address - Phone:316-285-8866
Practice Address - Fax:316-943-7195
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0678103TC0700X
KS907103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS9421OtherPREFERRED HEALTH SYSTEMS
KS389921OtherBLUE CROSS BLUE SHIELD