Provider Demographics
NPI:1427238682
Name:CARTER, LUKE E (MA, PSYD)
Entity type:Individual
Prefix:DR
First Name:LUKE
Middle Name:E
Last Name:CARTER
Suffix:
Gender:M
Credentials:MA, PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4601 E DOUGLAS AVE STE 207
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67218-1032
Mailing Address - Country:US
Mailing Address - Phone:316-337-5556
Mailing Address - Fax:316-337-5531
Practice Address - Street 1:4601 E DOUGLAS AVE STE 207
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67218-1032
Practice Address - Country:US
Practice Address - Phone:316-337-5556
Practice Address - Fax:316-337-5531
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-05
Last Update Date:2021-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-LP1693103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical