John Steven Carlson in East Lansing - Clinical Child & Adolescent

John Steven Carlson - NPI 1760693956

John Steven Carlson is a Clinical Child & Adolescent in East Lansing, Michigan. John Steven Carlson practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for John Steven Carlson is 1760693956. The last update date is 2007-07-09.

John Steven Carlson's current location address is 964 Lantern Hill Dr, East Lansing, Michigan. You can contact this provider via phone number 5172827717. The mailing address for John Steven Carlson is 964 Lantern Hill Dr, East Lansing, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name John Steven Carlson
Address 964 Lantern Hill Dr, East Lansing, Michigan
Phone Number 5172827717
Fax Number
Sole Proprietor Y
Credentials PHD

NPI Number Detail

NPI Number 1760693956
Provider Enumeration Date 2007-05-27
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 964 Lantern Hill Dr
City East Lansing
State Michigan (MI)
Post Code 488232832
Phone Number 5172827717
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 6301011692
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11273210 MI CAQH PROVIDER ID NUMBER

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FAQs about John Steven Carlson

What is the unique 10-digit identifier code assigned to John Steven Carlson by the Centers for Medicare & Medicaid Services?

The John Steven Carlson has been issued the NPI (National Provider Identifier) 1760693956 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of John Steven Carlson?

The John Steven Carlson is physically situated at 964 Lantern Hill Dr, in the city of East Lansing, state of MI, with the postal code 488232832.

What is the area of specialization for John Steven Carlson, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for John Steven Carlson is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this area of expertise is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1760693956 to John Steven Carlson?

The Centers for Medicare & Medicaid Services originally issued the 1760693956 to John Steven Carlson on 2007-05-27.

As of what date was the information regarding John Steven Carlson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to John Steven Carlson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.

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