Individual
DR. JOHN STEVEN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
6301011692
MI
103TS0200X
School Psychologist
Primary
6301011692
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11273210
CAQH PROVIDER ID NUMBER
MI
Enumeration date
05/27/2007
Last updated
09/11/2025
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