DR. LYLE WAYNE CARLSON PHD NPI 1700971561

NPI Information

  • NPI: 1700971561
  • Provider Name: DR. LYLE WAYNE CARLSON, PHD
  • Classification: Clinical Neuropsychologist - 103G00000X
  • Entity Type: Individual
  • Address: 650 JOEL DR
    FORT CAMPBELL, KY
    ZIP 42223
  • Phone: (270) 798-8388

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NPI Details

DR. Lyle Wayne Carlson, PHD is a clinical neuropsychologist in Fort Campbell, KY. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Lyle Wayne Carlson, PHD NPI is 1700971561. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

650 JOEL DR
FORT CAMPBELL, KY
ZIP 42223-318
Phone: (270) 798-8388

The enumeration date for this NPI number is 10/4/2006 and was last updated on 9/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103G00000XClinical NeuropsychologistKY1384KENTUCKYYes
2103TC0700XPsychologistClinicalKY1384KENTUCKYNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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