Dr Kelly Carson Souza, PSY D is a
Psychologist - Clinical based in Castle Pines, Colorado. Dr Kelly Carson Souza is licensed to practice in Colorado (license number 0005475) and her current practice location is
6411 Stable Cross Trl, Castle Pines, Colorado. She can be reached at her office (for appointments etc.) via phone at
(619) 884-7578.
NPI number for Dr Kelly Carson Souza is 1518005313 and her current mailing address is 6411 Stable Cross Trl, Castle Pines, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1518005313.
Healthcare Provider's Profile
Full Name | Dr Kelly Carson Souza |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 6411 Stable Cross Trl, Castle Pines, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1518005313
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 02/01/2022
Medical Identifiers
Medical identifiers for Dr Kelly Carson Souza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1518005313 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | IMF50814 (California) | Secondary |
103TC0700X | Psychologist - Clinical | 0005475 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kelly Carson Souza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Kelly Carson Souza, PSY D 6411 Stable Cross Trl, Castle Pines, CO 80108-9553 Ph: (161) 988-4757 | Dr Kelly Carson Souza, PSY D 6411 Stable Cross Trl, Castle Pines, CO 80108-9553 Ph: (619) 884-7578 |
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