Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TC1900X | Counseling Psychologist | 002858 | CT |
Y | 103TC1900X | Counseling Psychologist | PY 7773 | FL |
NPI | 1073760070 |
---|---|
Provider Name | Dr. Carri Lager |
First Address | Palm Beach Gardens, FL 33410-2879 |
Second Address | Jupiter, FL 33477-6459 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2008 |
Last Update Date | 20/08/2008 |