Doctor Name: | DR. DEBORAH LYNN CARLE |
NPI Number: | 1043254543 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | PY01716 |
Business Practice Address: | 11111 Nall Ave Suite 224 Leawood, KS - 662111924 |
Business Phone Number: | 9135494390 |
Business Fax Number: | 9135494392 |
Mailing Address: | 11111 Nall Ave, Suite 224 LEAWOOD |
State: | KS |
Postal Code: | 662111924 |
Phone Number: | 9135494390 |
Fax Number: | 9135494392 |
NPI Enumeration Date: | 06/15/2006 |
NPI Last Update Date: | 11/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PY01716 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |