Provider Demographics
NPI:1073760070
Name:LAGER, CARRI (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARRI
Middle Name:
Last Name:LAGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3022 ALCAZAR PL
Mailing Address - Street 2:103
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2879
Mailing Address - Country:US
Mailing Address - Phone:561-420-9097
Mailing Address - Fax:
Practice Address - Street 1:900 S US HIGHWAY 1
Practice Address - Street 2:101
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-6459
Practice Address - Country:US
Practice Address - Phone:561-420-9097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-20
Last Update Date:2008-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY 7773103TC1900X
CT002858103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling