Individual
DR. RICHARD E CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
401 ALLEGHENY AVE, HANOVER, PA 17331-1949
(717) 632-3886
Mailing address
5 SHERIDAN DR, HANOVER, PA 17331-9323
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PA-3604-L
PA
Other
Enumeration date
07/14/2006
Last updated
07/08/2007
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