Individual
DR. CAROLYN LEE HUDDLESTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
316 W 7TH ST, LIBERAL, KS 67901
(620) 626-4508
(620) 626-4508
Mailing address
316 W 7TH ST, LIBERAL, KS 67901
(620) 626-4508
(620) 626-4508
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP598
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
004471
BLUE CROSS BLUE SHIELD
KS
05
—
100238670A
—
KS
05
—
100842710A
—
OK
Enumeration date
03/07/2006
Last updated
12/09/2010
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