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NPI Code Detail

MEDICARE: DR. MICHAEL ANTONIO CARLTON PH.D.

MEDICARE: DR. MICHAEL ANTONIO CARLTON PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist01115AL

General Provider Information

NPI Number : 1558696427
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ANTONIO CARLTON PH.D.
Provider Business Mailing Address
First Line : 1339 SMOKERISE DR
Second Line :
City : MOBILE
State : AL
Zip : 36695-5027
Country : US
Telephone Number : 251-401-8380
Fax Number :
Provider Business Practice Location Address
First Line : 725 E COY SMITH HWY
Second Line :
City : MOUNT VERNON
State : AL
Zip : 36560-3322
Country : US
Telephone Number : 251-662-6826
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2009
Last Update Date : 10/12/2009

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