NPI | 1487838736 |
---|---|
Doing Business As | JOHN G. CARLSON, PH.D. |
Entity Type | Organization |
Authorized Contact | JOHN G. CARLSON President/Director 520-981-5930 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: AZ 3324) |
Enumeration Date | 2007-12-21 |
Last Update Date | 2007-12-21 |