Most Relevant Information
Provider Data
| NPI Number: | 1003450818 |
| Provider Name: | PATRICIA LYNN CARLSON PSYCHOLOGIST |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: | PSY10850 |
Most Important Dates
| Enumeration Date: | 11/05/2019 |
| Last Updated: | 11/05/2019 |
Provider Practice Location
1928 NOGALES ST
ROWLAND HEIGHTS
CA
917483855
Practice Location Phone/Fax
| Phone: | 6269358217 |
| Fax: |
Provider Mailing Location
1928 NOGALES ST
ROWLAND HEIGHTS
CA
917483855
Provider Mailing Phone/Fax
| Phone: | 6269358217 |
| Fax: |