Individual provider · Type 1 NPI

Derek Carl Carlson, MD

Child & Adolescent Psychiatry Physician · Green Bay, WI

NPI number 1790775450 Active

Practice location

301 E Saint Joseph St
Green Bay, WI 54301-2241

Specialties and licenses

TaxonomyCodeLicense
Child & Adolescent Psychiatry Physician 2084P0804X4301106248 (MI)
Child & Adolescent Psychiatry Physician Primary 2084P0804X61608-20 (WI)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1790775450

Derek Carl Carlson, MD's National Provider Identifier is 1790775450, issued on Oct 25, 2005. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Green Bay, WI. The record was last updated on Nov 23, 2020.