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Individual
DR. CARL NICHOLAS CORDONI
Active
Individual
DR. CARL NICHOLAS CORDONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
955
NC
103TA0700X
Adult Development & Aging Psychologist
955
NC
103TB0200X
Cognitive & Behavioral Psychologist
955
NC
103TC0700X
Clinical Psychologist
955
NC
103TC2200X
Clinical Child & Adolescent Psychologist
955
NC
103TF0000X
Family Psychologist
955
NC
103TF0200X
Forensic Psychologist
955
NC
103TH0100X
Health Service Psychologist
955
NC
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
Primary
955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2818511
—
NC
Enumeration date
04/13/2007
Last updated
09/11/2025
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