Individual
KRISTIN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
426 N MERIDIAN, PUYALLUP, WA 98371-8636
(253) 307-5871
Mailing address
PO BOX 65, PUYALLUP, WA 98371-0007
(253) 307-5871
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60319469
WA
Other
Enumeration date
10/04/2018
Last updated
10/04/2018
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