Derek Carl Carlson in Green Bay - Child & Adolescent Psychiatry
Derek Carl Carlson - NPI 1790775450
Derek Carl Carlson is a Child & Adolescent Psychiatry in Green Bay, Wisconsin. Derek Carl Carlson practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Derek Carl Carlson is 1790775450. The last update date is 2020-11-23.
Derek Carl Carlson's current location address is 301 E Saint Joseph St, Green Bay, Wisconsin. You can contact this provider via phone number 9204333630. The mailing address for Derek Carl Carlson is 301 E Saint Joseph St, Green Bay, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek Carl Carlson |
|---|---|
| Address | 301 E Saint Joseph St, Green Bay, Wisconsin |
| Phone Number | 9204333630 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1790775450 |
|---|---|
| Provider Enumeration Date | 2005-10-25 |
| Last Updated Date | 2020-11-23 |
Provider Mailing Address Detail
| Address | 301 E Saint Joseph St |
|---|---|
| City | Green Bay |
| State | Wisconsin (WI) |
| Post Code | 543012241 |
| Phone Number | 9204333630 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 4301106248 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Post Comment/ Review Below
What is the unique identifier code issued to Derek Carl Carlson by the Centers for Medicare & Medicaid Services?
The Derek Carl Carlson has been assigned the NPI (National Provider Identifier) 1790775450. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Derek Carl Carlson?
The Derek Carl Carlson is situated at 301 E Saint Joseph St, in the city of Green Bay, state of WI, with the zip code 543012241.
What is Derek Carl Carlson's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Derek Carl Carlson is Child & Adolescent Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0804X.
When did Derek Carl Carlson receive its 1790775450 assignment?
The Derek Carl Carlson was assigned its 1790775450 on 2005-10-25, which is the date when this unique identifier was issued to the organization.
When was the information related to Derek Carl Carlson most recently updated or refreshed?
The details pertaining to the Derek Carl Carlson, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-11-23.
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