Individual provider · Type 1 NPI

Carly Ostrom, PhD

Clinical Psychologist · Lake City, FL

NPI number 1619356763 Active

Practice location

619 S Marion Ave
Lake City, FL 32025-5808

Mailing address

1601 SW Archer Rd, Vamc Psychology Department (116B)
Gainesville, FL 32608-1135

Specialties and licenses

TaxonomyCodeLicense
Adult Development & Aging Psychologist 103TA0700XNone listed
Clinical Psychologist Primary 103TC0700X9547 (FL)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1619356763

Carly Ostrom, PhD's National Provider Identifier is 1619356763, issued on May 21, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Lake City, FL. The record was last updated on May 18, 2016.