Individual
CAMILLE INEZ CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
680 OYSTER POINT RD, NEWPORT NEWS, VA 23606-4570
(804) 840-6066
Mailing address
811 REDGATE AVE, NORFOLK, VA 23507-1515
(804) 840-6066
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810007626
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/23/2019
Last updated
10/27/2021
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