Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENEE L CARLSON, DT
ActiveRENEE L CARLSON, DT is a Developmental-Behavioral Pediatrics healthcare provider located in PRINCETON, Illinois. NPI 1245322759 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · PRINCETON, IL
Registration Details
- NPI Number
- 1245322759
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 29, 2006 (19.847831639434 yrs)
- Last Updated
- Jul 8, 2007
- License
-
RC11700805P (IL)
Practice Information
- Address
-
406 S GOSSE BLVDPRINCETON, IL, 613561916Browse IL providers · Browse ZIP 61356
- Phone
- 8158754548
- Fax
- 8158758602
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.