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Contact Information

DONALD A CARLSON JR, PH D
22 EAST 2ND STREET
FREDERICK, MD21701
 Phone: 240-344-4119
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DONALD A CARLSON JR · (Male)

NPI Number 1942216866
Status Active
Credentials PH D
Entity Individual
Enumeration date 07/31/2006
Last updated 05/09/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 3887
  • MD Medicaid 004443100
Hospital affiliation(s) Not Available
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.

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