Individual
EMILY CARLSON
Active
Individual
EMILY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
0810008366
VA
103G00000X
Clinical Neuropsychologist
Primary
PSY200001594
DC
Other
Enumeration date
08/06/2024
Last updated
10/31/2024
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