Individual
REGINA ANGELICH CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1890 N REVERE CT, AURORA, CO 80045-7464
(303) 724-3300
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSY.0003969
CO
103TC0700X
Clinical Psychologist
Primary
PSY.0003969
CO
Other
Enumeration date
01/15/2009
Last updated
11/25/2024
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