Individual
DR. ALLYSON CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
52 FAYE ST, WADING RIVER, NY 11792-1810
(631) 708-5945
Mailing address
52 FAYE STREET, WADING RIVER, NY 11792
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
016830
NY
Other
Enumeration date
03/14/2013
Last updated
03/14/2013
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