Carole Buckles, PSY.D.
Individual provider Active NPI Clinical Psychologist · Lafayette, LA
NPI 1821409103 · NPPES record last updated Nov 7, 2021
Key facts
- NPI
- 1821409103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 981 (LA)
- Practice address
- 315 S College Road
Suite 260
Lafayette, LA 70503-3221 - Phone
- (833) 782-2253
- Fax
- (318) 232-6932
- NPI assigned
- May 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 981 | LA | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 981 | LA | Yes |
Addresses
Primary practice location
315 S College Road
Suite 260
Lafayette, LA 70503-3221
Mailing address
315 S College Road
Suite 260 Mailbox 26
Lafayette, LA 70503-3221
Phone (833) 782-2253
Other names
- Dr. Carole Anne Brunner
Other providers in Lafayette, LA
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- Jasmine Buckley
- Khydria Mitche' Buckner
- Blair Budden
- Jeffrey Paul Budden
- Allen T Bui
All providers in Lafayette, LA · Clinical Psychologist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.