Provider Demographics
NPI:1811662059
Name:CARVER, TOBY
Entity type:Individual
Prefix:
First Name:TOBY
Middle Name:
Last Name:CARVER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7130 W MAPLE ST STE 230
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-2101
Mailing Address - Country:US
Mailing Address - Phone:316-364-4400
Mailing Address - Fax:833-817-7480
Practice Address - Street 1:1301 N WEST ST STE 5
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-1347
Practice Address - Country:US
Practice Address - Phone:316-364-4400
Practice Address - Fax:833-817-7480
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-10
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03337106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist