Individual
DR. JENNIFER K CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
103T00000X
Psychologist
071.009836
IL
103T00000X
Psychologist
PSY-005907
AZ
103T00000X
Psychologist
Primary
PSY.0006727
CO
103TC0700X
Clinical Psychologist
071.009836
IL
103TC0700X
Clinical Psychologist
PSY-005907
AZ
Other
Enumeration date
09/21/2016
Last updated
08/05/2026
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