DR. Kenneth M Carlson, PH.D.
NPI #1205866472 in Grand Forks, North Dakota
Provider Information
- NPI Number
- 1205866472
- Entity Type
- Individual
- Name
- DR. Kenneth M Carlson, PH.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychologist - Clinical
- Credential
- PH.D.
- Enumeration Date
- Jul 4, 2006
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 2808 17TH AVE S
- City
- Grand Forks
- State
- North Dakota
- ZIP Code
- 58201-4010
- Phone
- (701) 746-8376
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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