Individual provider · Type 1 NPI

Tabitha A. Carlson, PSYD

Clinical Psychologist · Fort Wayne, IN

NPI number 1649423344 Active

Practice location

909 E State Blvd
Fort Wayne, IN 46805-3404

Call (260) 481-2700 Map

Fax (260) 481-2709

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X99034731A (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 1649423344

Tabitha A. Carlson, PSYD's National Provider Identifier is 1649423344, issued on Oct 28, 2008. 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 28, 2008.