Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LYLE WAYNE CARLSON, PHD
ActiveDR. LYLE WAYNE CARLSON, PHD is a Clinical Neuropsychologist healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1700971561 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1700971561
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2006 (19.835129348965 yrs)
- Last Updated
- Sep 30, 2014
- Licenses
-
KY1384 (KY)KY1384 (KY)
Practice Information
- Address
-
650 JOEL DRFORT CAMPBELL, KY, 422235318Browse KY providers · Browse ZIP 42223
- Phone
- 2707988388
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Clinical Neuropsychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.