| Deborah L. Carle, Ph.d., Llc | |
|
11111 Nall Ave Site 224 Leawood KS 66211-1924 | |
| (913) 549-4390 | |
| (913) 549-4392 |
| Full Name | Deborah L. Carle, Ph.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 11111 Nall Ave, Leawood, Kansas |
| Authorized Official Name and Position | Deborah L. Carle (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9135494390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Deborah L. Carle, Ph.d., Llc 11111 Nall Ave Site 224 Leawood KS 66211-1924 Ph: (913) 549-4390 | Deborah L. Carle, Ph.d., Llc 11111 Nall Ave Site 224 Leawood KS 66211-1924 Ph: (913) 549-4390 |
| NPI Number | 1508262999 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 11/12/2014 |
| Medicare PECOS PAC ID | 0840513727 |
|---|---|
| Medicare Enrollment ID | O20141229001754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508262999 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 961 (Kansas) | Primary |
| Provider Name | Deborah L Carle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043254543 PECOS PAC ID: 3072701895 Enrollment ID: I20101221000677 |
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