Provider Demographics
NPI:1851671788
Name:SHEETS, CARRIE (PHD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:
Last Name:SHEETS
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 1:8400 W 110TH ST
Mailing Address - Street 2:SUITE 610
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66210-2331
Mailing Address - Country:US
Mailing Address - Phone:913-631-3800
Mailing Address - Fax:913-948-7317
Practice Address - Street 1:8400 W 110TH ST
Practice Address - Street 2:SUITE 610
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2331
Practice Address - Country:US
Practice Address - Phone:913-631-3800
Practice Address - Fax:913-948-7317
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVUNLICENSED POSTDOC103TC0700X
NVUNLICENSED103TH0004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth