Search › Virginia › 103TC0700X
Carly Carrasco-Wyant, PHD
NPI 1437946746 · on the registry since 2025
Practice
- Address
- 1300 Jefferson Park Ave
Charlottesville, VA 22903 - Phone
- (434) 924-5314
- Clinicians at this address
- 163
Additional practice sites
- 1215 Lee St, Charlottesville, VA
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia