Ina S. Carlson is a Clinical in Fort Wayne, Indiana. Ina S. Carlson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ina S. Carlson is 1265490650. The last update date is 2022-10-17.
Ina S. Carlson's current location address is 1909 Carew St, Fort Wayne, Indiana. You can contact this provider via phone number 2604812800 and fax number 2609698442. The mailing address for Ina S. Carlson is 1909 Carew St, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ina S. Carlson |
|---|---|
| Address | 1909 Carew St, Fort Wayne, Indiana |
| Phone Number | 2604812800 |
| Fax Number | 2609698442 |
| Sole Proprietor | N |
| Credentials | PH.D., HSP |
NPI Number Detail
| NPI Number | 1265490650 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2022-10-17 |
Provider Mailing Address Detail
| Address | 1909 Carew St |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468054707 |
| Phone Number | 2604812800 |
| Fax Number | 2609698442 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 20090244A |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique identifier code issued to Ina S. Carlson by the Centers for Medicare & Medicaid Services (CMS)?
The Ina S. Carlson has been assigned the NPI (National Provider Identifier) 1265490650. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Ina S. Carlson is geographically located?
The Ina S. Carlson is physically situated at the following location: 1909 Carew St, Fort Wayne, IN, 468054707.
What is Ina S. Carlson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Ina S. Carlson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1265490650 to Ina S. Carlson?
The Centers for Medicare & Medicaid Services originally issued the 1265490650 to Ina S. Carlson on 2006-05-03.
As of what date was the information pertaining to Ina S. Carlson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Ina S. Carlson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-10-17.