Individual
DANIEL CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1500 1ST AVE NE, ROCHESTER, MN 55906-4170
(507) 536-0584
Mailing address
3101 SUPERIOR DR NW, ROCHESTER, MN 55901-1993
(507) 288-8544
(507) 288-8545
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP4131
MN
Other
Enumeration date
03/05/2014
Last updated
04/13/2020
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