Individual
DR. BRIAN D CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3301 STADIUM DR, PHENIX CITY, AL 36867-3115
(334) 297-0237
Mailing address
PO BOX 231396, MONTGOMERY, AL 36123-1396
(912) 682-6062
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2023
AL
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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