Carlson, Carol Victor
Carlson, Carol Victor is an sole proprietor health care provider with primary practice located at 4199 Campus Dr Ste 550 , Irvine CA 92612-4694. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Carlson, Carol Victor can be contacted via phone (510) 444-1110.Contact Information
Primary practice address
4199 Campus Dr Ste 550
Irvine CA 92612-4694
Phone: (510) 444-1110
Fax: (949) 885-8885
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY14518 | California |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY14518 | California |
Profile Details
| NPI number | 1710102595 |
|---|---|
| LBN Legal business name | Carlson, Carol Victor |
| Credentials | DOCTORATE - PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2007 |
| Last updated | Jun 5th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710102595 | NPPES |
| California | Other | 0PL145180 | BLUE SHIELD PROVIDER # |
Popular Providers
-
Dambrocia, Samuel L
7 Corporate Park Suite 250, Irvine CA 92606-5107 -
Vorwerk, Michelle Lynette
3943 Irvine Blvd #321, Irvine CA 92602-2400 -
Farrington, Gordon Norman
2102 Business Center Dr Suite 135, Irvine CA 92612-1001 -
Lakes, Kimberley Dawn
19722 Macarthur Blvd , Irvine CA 92612-2404 -
Richmond, Fredric
18971 Antioch Drive , Irvine CA 92603 -
Shafer, James Thomas
6 Venture Suite 350, Irvine CA 92618-3340 -
Irvani, Sepideh
8 Corporate Park Ste 300, Irvine CA 92606-5196 -
Kochinski, Sivan
18008 Sky Park Cir Ste 110 , Irvine CA 92614-6434