Individual
ANDREW D CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
420 PENNSYLVANIA AVE STE 101, GLEN ELLYN, IL 60137-4427
(630) 474-4353
Mailing address
420 PENNSYLVANIA AVE STE 101, GLEN ELLYN, IL 60137-4427
(630) 621-8378
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010080
IL
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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