Individual provider · Type 1 NPI

Ina S. Carlson, PhD, HSPP

Clinical Psychologist · Fort Wayne, IN

NPI number 1265490650 Active

Practice location

1909 Carew St
Fort Wayne, IN 46805-4707

Fax (260) 969-8442

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X20090244A (IN)

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1265490650

Ina S. Carlson, PhD, HSPP's National Provider Identifier is 1265490650, issued on May 3, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 17, 2022.