National Provider Identifier Database

DEREK C CARLSON, MD – NPI #1790775450
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

DEREK C CARLSON, MD
301 E SAINT JOSEPH ST
GREEN BAY, WI54301-2241
Phone: 920-433-3630
Fax:
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X

* Indicates primary specialty

NPI Profile & details for DEREK C CARLSON

NPI Number 1790775450
Credentials MD
Entity Individual
Enumeration date 10/25/2005
Last updated 11/23/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • MI License #: 4301106248
  • WI License #: 61608-20
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for DEREK C CARLSON, MD

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