Individual
DR. JOHN V. CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
300 SUMMIT ST, HARTFORD, CT 06106-3100
(860) 305-3024
Mailing address
10 AVONDALE RD, MANCHESTER, CT 06042-3258
(860) 305-3024
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
003138
CT
Other
Enumeration date
05/17/2012
Last updated
05/17/2012
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