Carlson, Phyllis Anne

Carlson, Phyllis Anne is an sole proprietor health care provider with primary practice located at 5 Leighton Ct , Melville NY 11747-3910. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Carlson, Phyllis Anne can be contacted via phone (631) 495-7254.

Contact Information

Primary practice address
5 Leighton Ct Melville NY 11747-3910
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5724 New York

Profile Details

NPI number 1912145517
LBN Legal business name Carlson, Phyllis Anne
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2009
Last updated Feb 4th, 2009 - about 17 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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