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Individual

DR. LARRY JAMES CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D

Contact information

Practice address
2632 FOOTHILL BLVD, SUITE 106, ROCK SPRINGS, WY 82901-4756
(307) 362-8840
(307) 362-8840
Mailing address
2632 FOOTHILL BLVD, SUITE 106, ROCK SPRINGS, WY 82901-4756
(307) 362-8840
(307) 362-8840

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
152
WY
103TC0700X
Clinical Psychologist
Primary
152
WY

Other

Enumeration date
05/13/2008
Last updated
05/13/2008
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