Carlson, Donald Albert

Carlson, Donald Albert is an individual health care provider with primary practice located at 22 East 2Nd Street , Frederick MD 21701. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Carlson, Donald Albert can be contacted via phone (240) 344-4119.

Contact Information

Primary practice address
22 East 2Nd Street Frederick MD 21701
Phone: (240) 344-4119
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3887 Maryland

Profile Details

NPI number 1942216866
LBN Legal business name Carlson, Donald Albert
Credentials PH D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated May 9th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942216866 NPPES
Maryland MEDICAID 004443100

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