Individual
DR. DAWN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8833 PERIMETER PARK BLVD, SUTIE 1202, JACKSONVILLE, FL 32216-1109
(904) 641-6788
Mailing address
8833 PERIMETER PARK BLVD, SUTIE 1202, JACKSONVILLE, FL 32216-1109
(904) 641-6788
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY 3074
CO
103T00000X
Psychologist
Primary
PY6537
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73039
BCBSFL
FL
Enumeration date
05/22/2007
Last updated
07/08/2007
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