RITA A. CARLSON, PSY.D., PLLC


Address: 191 Shady Grove Ln, Dayton, NV 89403-6364
Phone: 7753152980

RITA A. CARLSON, PSY.D., PLLC (NPI# 1720691074) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1720691074
Entity Type Organization
Organization Name RITA A. CARLSON, PSY.D., PLLC
Practice Address 191 Shady Grove Ln
Dayton
NV 89403-6364
Practice Telephone 7753152980
Mailing Telephone 7753152980
Enumeration Date 2020-08-26
Last Update Date 2020-08-26
Authorized Official Name DR. RITA A CARLSON (PSYCHOLOGIST/OWNER)
Authorized Official Telephone 7753152980
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
Behavioral Health & Social Service Providers

Office Location

Street Address 191 SHADY GROVE LN
City DAYTON
State NV
Zip Code 89403-6364

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1013020973 Tracy L West-stallard Occupational Therapist 5 Pinecone Drive, Suite 100, Dayton, NV 89403 2006-08-16
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1023673100 Katren Elizabeth Clark Psychologist 70 Birch Alley, Suite 240, Dayton, OH 45440 2019-05-05
1629379920 Allison L Fernander Psychologist 9 North Edwin C Moses Blvd, Dayton, OH 45402-8470 2010-11-03
1548490667 Rahema C Rodgers Psychologist 5045 N Main St Ste 223, Dayton, OH 45415-3637 2009-07-23
1710151295 Cynthia Burton Levy Psychologist 17 Irongate Park Dr, Dayton, OH 45459-4616 2008-04-16
1033308119 Alice L Claggett Psychologist 1159 Lyons Rd, Building E, Dayton, OH 45458-1857 2007-10-15
1740483031 Roger G Schmidt Psychologist 88th Medical Group/mdos, 4881 Sugar Maple Dr., Dayton, OH 45433-5529 2007-06-06
1982826590 Kathleen Ann Malloy Psychologist Ellis Institute, 9 N. Edwin C. Moses Blvd., Dayton, OH 45402 2007-05-03
1669692281 James R. P. Fraser Psychologist 6550 Garber Rd, Dayton, OH 45415-2000 2007-04-26
1467675637 David Nathan Zahm Psychologist 13612 Voland Ct, Dayton, MD 21036-1102 2007-04-10
1174646046 Diana Guarnera Ackerley Psychologist 305 E Stroop Rd, Dayton, OH 45429-2827 2007-04-07
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Competitor

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City DAYTON
Zip Code 89403

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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