Provider Demographics
NPI:1427290238
Name:DR. CARRI LAGER, LICENSED PSYCHOLOGIST, LLC
Entity type:Organization
Organization Name:DR. CARRI LAGER, LICENSED PSYCHOLOGIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CARRI
Authorized Official - Middle Name:
Authorized Official - Last Name:LAGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:561-727-9120
Mailing Address - Street 1:511 COCOPLUM DR S
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-8335
Mailing Address - Country:US
Mailing Address - Phone:561-727-9120
Mailing Address - Fax:561-244-4300
Practice Address - Street 1:900 S US HIGHWAY 1
Practice Address - Street 2:SUITE 101
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-6459
Practice Address - Country:US
Practice Address - Phone:561-727-9120
Practice Address - Fax:561-244-4300
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY7773251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health