Individual
DAVID K. CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
5112 LEERAY RD, FORT WORTH, TX 76244-9233
(405) 819-9655
Mailing address
5112 LEERAY RD, FORT WORTH, TX 76244-9233
(405) 819-9655
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
37506
TX
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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