Individual
ELIZABETH CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
570 ASBURY ST, SAINT PAUL, MN 55104-1849
(651) 646-7010
Mailing address
51 E RIVER RD, MINNEAPOLIS, MN 55455-0365
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
LP3119
MN
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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