Carlson, Matthew Allen

Carlson, Matthew Allen is an individual health care provider with primary practice located at 55 Carlton St Counseling And Psychiatric Services, Athens GA 30602-1503. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carlson, Matthew Allen can be contacted via phone (706) 542-2273.

Contact Information

Primary practice address
55 Carlton St Counseling And Psychiatric Services Athens GA 30602-1503
Phone: (706) 542-2273
Fax: (706) 542-8661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY003478 Georgia

Profile Details

NPI number 1740329663
LBN Legal business name Carlson, Matthew Allen
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Sep 15th, 2011 - about 15 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 1740329663 NPPES
Other 50056214 CAPITAL BLUE CROSS

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