IndividualActive
Kenneth Carlson, PH.D.
NPI 1205866472 · Clinical Psychologist · Grand Forks, ND
Provider details
- NPI number
- 1205866472
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 80 (ND)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
2808 17th Ave S
Grand Forks, ND 58201-4010
Phone: (701) 746-8376
Fax: (701) 746-9872
Approximate (ZIP-level) locationGet directions
Mailing address
2808 17th Ave S
Grand Forks, ND 58201-4010
Registry dates
- Enumerated
- 2006-07-04
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.