Mark Carlson is a Clinical in Oakdale, Minnesota. Mark Carlson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mark Carlson is 1790708840. The last update date is 2007-07-08.
Mark Carlson's current location address is 7066 Stillwater Blvd N, Oakdale, Minnesota. You can contact this provider via phone number 6517775222 and fax number 6512515111. The mailing address for Mark Carlson is 7066 Stillwater Blvd N, Oakdale, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Carlson |
|---|---|
| Address | 7066 Stillwater Blvd N, Oakdale, Minnesota |
| Phone Number | 6517775222 |
| Fax Number | 6512515111 |
| Sole Proprietor | N |
| Credentials | PH.D., LP |
NPI Number Detail
| NPI Number | 1790708840 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 7066 Stillwater Blvd N |
|---|---|
| City | Oakdale |
| State | Minnesota (MN) |
| Post Code | 551283937 |
| Phone Number | 6517775222 |
| Fax Number | 6512515111 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 2212 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 106227 | MN | UC | |
| 570003 | MN | P1 | |
| 242966 | MN | CP | |
| 0G040CA | MN | BCBS | |
| 17577 | MN | HP | |
| 61-20016 | MN | UBH |
Post Comment/ Review Below
What is the Mark Carlson's unique identification number?
The Mark Carlson has been assigned the NPI (National Provider Identifier) Number 1790708840 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mark Carlson's physical address?
The Mark Carlson is physically located at 7066 Stillwater Blvd N, in the city of Oakdale, MN, with the postal code 551283937.
What is Mark Carlson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mark Carlson's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1790708840 assigned to Mark Carlson?
The Mark Carlson was issued its 1790708840 on 2006-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Mark Carlson most recently updated or revised?
The information pertaining to Mark Carlson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.