Individual
DR. MATTHEW ALLEN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
55 CARLTON ST, COUNSELING AND PSYCHIATRIC SERVICES, ATHENS, GA 30602-1503
(706) 542-2273
(706) 542-8661
Mailing address
55 CARLTON ST, COUNSELING AND PSYCHIATRIC SERVICES, ATHENS, GA 30602-1503
(610) 266-0610
(610) 266-0292
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY003478
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50056214
CAPITAL BLUE CROSS
—
Enumeration date
02/06/2007
Last updated
09/15/2011
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