Dr. Rosemarie Carlson, Ph.D.
Psychologist, Clinical in Northport, NY. Individual provider (NPI-1).
NPI number1295848901
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1295848901
- Entity type
- Individual (NPI-1)
- Name
- Dr. Rosemarie Carlson
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 005264 | NY | Yes |
Practice location
256 Main StRoom 205
Northport, NY 11768-1733
Phone 631-261-8776 · Fax 631-261-8776
Mailing address
107 Bayview AveNorthport, NY 11768-1510
Phone 631-869-5625 · Fax 631-757-5115
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