Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Matthew Tyler Davis, LPA

Individual provider Psychologist · NPI 1356010862

Matthew Tyler Davis, LPA is an Undefined Non-Physician Type (Specify) in London, Kentucky. Qualified in 2009, 17 years ago. Licensed in Kentucky.

Years since qualifying
17
Licensed in
KY
In the registry since
2021
Specialties on file
2

Practice location Address checks out

95 S Laurel Rd Ste 1
London, KY 40744-8300
Phone: (606) 770-5086
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 281597 (KY)
Psychologist Taxonomy 103T00000X · Licence 271738 (KY)

Record details

NPI number1356010862
Entity typeIndividual (Type 1)
GenderMale
Credentials LPA
Sole proprietorNo
NPI enumeratedSeptember 8, 2021
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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