Provider Demographics
NPI:1164241766
Name:VEGA, KARLA R (LMLP)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:R
Last Name:VEGA
Suffix:
Gender:F
Credentials:LMLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CHRISTIAN PSYCHOLOGICAL SERVICES
Mailing Address - Street 2:3500 WESTRIDGE DR
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-2258
Mailing Address - Country:US
Mailing Address - Phone:785-843-2429
Mailing Address - Fax:785-843-7386
Practice Address - Street 1:CHRISTIAN PSYCHOLOGICAL SERVICES
Practice Address - Street 2:3500 WESTRIDGE DR
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-2258
Practice Address - Country:US
Practice Address - Phone:785-843-2429
Practice Address - Fax:785-843-7386
Is Sole Proprietor?:No
Enumeration Date:2024-10-09
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSLMLP03363-T103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist