Provider Demographics
NPI:1497564157
Name:CARSON PSYCHOLOGICAL TESTING INC.
Entity type:Organization
Organization Name:CARSON PSYCHOLOGICAL TESTING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:661-417-7524
Mailing Address - Street 1:23822 VALENCIA BLVD STE 301
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-5350
Mailing Address - Country:US
Mailing Address - Phone:661-417-7524
Mailing Address - Fax:
Practice Address - Street 1:23822 VALENCIA BLVD STE 301
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-5350
Practice Address - Country:US
Practice Address - Phone:661-417-7524
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty