John Theodore Carlsen in Chicago - Psychologist
John Theodore Carlsen - NPI 1467428037
John Theodore Carlsen is a Psychologist in Chicago, Illinois. John Theodore Carlsen practices all healthcare services and medical treatments related to Psychologist. The NPI Number for John Theodore Carlsen is 1467428037. The last update date is 2007-07-08.
John Theodore Carlsen's current location address is 333 S State Street Revenue, Chicago, Illinois. You can contact this provider via phone number 3127479443 and fax number 3127479447. The mailing address for John Theodore Carlsen is 333 S State Street Revenue, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Theodore Carlsen |
|---|---|
| Address | 333 S State Street Revenue, Chicago, Illinois |
| Phone Number | 3127479443 |
| Fax Number | 3127479447 |
| Sole Proprietor | X |
| Credentials | PSCYHOLOGI |
NPI Number Detail
| NPI Number | 1467428037 |
|---|---|
| Provider Enumeration Date | 2006-02-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 333 S State Street Revenue |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60604 |
| Phone Number | 3127479443 |
| Fax Number | 3127479447 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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What is the John Theodore Carlsen's 1467428037?
The John Theodore Carlsen's NPI (National Provider Identifier) Number is 1467428037. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where John Theodore Carlsen is located?
The John Theodore Carlsen is situated at the following address: 333 S State Street Revenue, Chicago, IL, 60604.
What is John Theodore Carlsen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Theodore Carlsen's specialized field of practice is Psychologist, and the corresponding taxonomy code that categorizes this area of specialization is 103T00000X.
On what date did the John Theodore Carlsen receive its 1467428037 assignment from the Centers for Medicare & Medicaid Services?
The John Theodore Carlsen was assigned its 1467428037 by the Centers for Medicare & Medicaid Services on 2006-02-24.
As of what date was the information regarding John Theodore Carlsen, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John Theodore Carlsen, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
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