Carlson, Lyle Wayne

Carlson, Lyle Wayne is an individual health care provider with primary practice located at 650 Joel Dr , Fort Campbell KY 42223-5318. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Carlson, Lyle Wayne can be contacted via phone (270) 798-8388.

Contact Information

Primary practice address
650 Joel Dr Fort Campbell KY 42223-5318
Phone: (270) 798-8388
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X KY1384 Kentucky
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X KY1384 Kentucky

Profile Details

NPI number 1700971561
LBN Legal business name Carlson, Lyle Wayne
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Sep 30th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers