Individual
DR. CARLY OSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
619 S MARION AVE, LAKE CITY, FL 32025-5808
(386) 755-2016
Mailing address
1601 SW ARCHER RD, VAMC PSYCHOLOGY DEPARTMENT (116B), GAINESVILLE, FL 32608-1135
(386) 755-3016
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
9547
FL
Other
Enumeration date
05/21/2015
Last updated
05/18/2016
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