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DR. BRIAN D CARLSON PSYD

Clinical >> Psychologist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1336633734

Individual Registrant:
DR. BRIAN D CARLSON PSYD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
3301 STADIUM DR  PHENIX CITY, AL 36867-3115 US
Tel: 334-297-0237  Fax: --

Contact information for business:
PO BOX 231396  MONTGOMERY, AL 36123-1396 US
Tel: 912-682-6062  Fax: --

Registration Information:
NPI: 1336633734
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
AL2023

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS AL - Page 1

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