Most Relevant Information
Provider Data
  | NPI Number: | 1003584665 | 
| Provider Name: | MARIANNE CARLSON PSYD | 
| Entity Type: | Individual | 
| Taxonomy Code: | 103TC0700X | 
| Specialty: | Psychologist | 
| License Number: | 38750 | 
Most Important Dates
  | Enumeration Date: | 08/31/2021 | 
| Last Updated: | 09/20/2021 | 
Provider Practice Location
  6550 FANNIN ST
      
      HOUSTON
      TX
      770302717
  Practice Location Phone/Fax
      | Phone: | 3462482040 | 
| Fax: | 
Provider Mailing Location
  6550 FANNIN ST
      
      HOUSTON
      TX
      770302717
  Provider Mailing Phone/Fax
      | Phone: | 3462482040 | 
| Fax: |