Gretchen L Carlson
Cognitive & Behavioral Psychologist
1485 S. M-139
Benton Harbor
, Michigan 49022
Gretchen L Carlson
Cognitive & Behavioral Psychologist
1485 S. M-139
Benton Harbor
, Michigan 49022
(269) 925-0070
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
Languages spoken
- English
Location
First Address
- Gretchen L Carlson
- 1485 S. M-139
- Benton Harbor, MI
- Zip : 49022
- Fax : (269) 925-0070
- Phone : (269) 925-0585
Second Address
- Gretchen L Carlson
- 1485 S. M-139
- Benton Harbor, MI
- Zip : 49022
- Fax : (269) 925-0070
- Phone : (269) 925-0585
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103TB0200X | Cognitive & Behavioral Psychologist | 6301011572 | MI |
National Provider Identifier
| NPI | 1225108152 |
|---|---|
| Provider Name | Gretchen L Carlson |
| First Address | Benton Harbor, MI 49022 |
| Second Address | Benton Harbor, MI 49022 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.