Provider Demographics
NPI:1205262755
Name:SLOAN-BROWN, CARLA (MS, LCP)
Entity type:Individual
Prefix:
First Name:CARLA
Middle Name:
Last Name:SLOAN-BROWN
Suffix:
Gender:F
Credentials:MS, LCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 55
Mailing Address - Street 2:
Mailing Address - City:COLBY
Mailing Address - State:KS
Mailing Address - Zip Code:67701-0055
Mailing Address - Country:US
Mailing Address - Phone:785-460-0050
Mailing Address - Fax:
Practice Address - Street 1:170 W 6TH ST
Practice Address - Street 2:
Practice Address - City:COLBY
Practice Address - State:KS
Practice Address - Zip Code:67701
Practice Address - Country:US
Practice Address - Phone:785-460-7588
Practice Address - Fax:785-460-2396
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-16
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-LMLP 2499103T00000X
KSLMLP2513103T00000X
KSLCP01541103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist