Individual
ANNE M CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5864 INTERFACE DR STE D, ANN ARBOR, MI 48103-9514
(734) 994-9466
Mailing address
2842 SANDHILL DR, DEXTER, MI 48130-8630
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301015910
MI
103TC0700X
Clinical Psychologist
20042154A
IN
Other
Enumeration date
09/18/2007
Last updated
11/02/2018
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