Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Carly Ostrom, PHD

Individual provider Adult Development & Aging Psychologist · NPI 1619356763

Dr. Carly Ostrom, PHD is an Adult Development & Aging Psychologist in Lake City, Florida. Licensed in Florida. Registered with an NPI since 2015.

Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 755-2016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 9547 (FL)
Adult Development & Aging Psychologist Taxonomy 103TA0700X

Record details

NPI number1619356763
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedMay 21, 2015
Last updated in NPPESMay 18, 2016