Renee L Carlson in Princeton - Developmental - Behavioral Pediatrics

Renee L Carlson - NPI 1245322759

Renee L Carlson is a Developmental - Behavioral Pediatrics in Princeton, Illinois. Renee L Carlson practices all healthcare services and medical treatments related to Developmental - Behavioral Pediatrics. The NPI Number for Renee L Carlson is 1245322759. The last update date is 2007-07-08.

Renee L Carlson's current location address is 406 S Gosse Blvd, Princeton, Illinois. You can contact this provider via phone number 8158754548 and fax number 8158758602. The mailing address for Renee L Carlson is 406 S Gosse Blvd, Princeton, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Renee L Carlson
Address 406 S Gosse Blvd, Princeton, Illinois
Phone Number 8158754548
Fax Number 8158758602
Sole Proprietor N
Credentials DT

NPI Number Detail

NPI Number 1245322759
Provider Enumeration Date 2006-09-29
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 406 S Gosse Blvd
City Princeton
State Illinois (IL)
Post Code 613561916
Phone Number 8158754548
Fax Number 8158758602

Provider's Primary Taxonomy Detail

Speciality Developmental - Behavioral Pediatrics
Taxonomy 2080P0006X
Licence No RC11700805P
Definition:
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy effort

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FAQs about Renee L Carlson

What is the Renee L Carlson's unique identification number?

The Renee L Carlson has been assigned the NPI (National Provider Identifier) Number 1245322759 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Renee L Carlson is physically located?

The Renee L Carlson is situated at the following address: 406 S Gosse Blvd, Princeton, IL 613561916.

What is Renee L Carlson's specialized field of practice, and what is the corresponding taxonomy classification code?

The Renee L Carlson's area of specialization is Developmental - Behavioral Pediatrics, and the corresponding taxonomy code that categorizes this field of practice is 2080P0006X.

On what date did the Renee L Carlson receive its 1245322759 assignment from the Centers for Medicare & Medicaid Services?

The Renee L Carlson was assigned its 1245322759 by the Centers for Medicare & Medicaid Services on 2006-09-29.

When was the information pertaining to Renee L Carlson most recently updated or revised?

The details related to Renee L Carlson, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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