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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES ROCK CARLSON JR., D.O.

Active Sole Proprietor

CHARLES ROCK CARLSON JR., D.O. is a Psychiatry healthcare provider located in ROSEVILLE, California. NPI 1376077826 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · ROSEVILLE, CA

Registration Details

NPI Number
1376077826
Provider Type
Individual
Gender
Male
NPI Issued
Apr 11, 2017 (9.360666807983 yrs)
Last Updated
Feb 13, 2024
Licenses
20A20898 (CA)
34.013717 (OH)
Sole Proprietor
Yes

Practice Information

Address
1660 E ROSEVILLE PKWY STE 100
ROSEVILLE, CA, 956613988
Browse CA providers · Browse ZIP 95661
Phone
9169735300
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry

Other Psychiatry Providers in ROSEVILLE, CA

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.