Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth M Carlson, PHD

Individual provider Clinical Psychologist · NPI 1205866472

Dr. Kenneth M Carlson, PHD is a Clinical Psychologist in Grand Forks, North Dakota. Licensed in North Dakota. Registered with an NPI since 2006.

Licensed in
ND
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2808 17th Ave S
Grand Forks, ND 58201-4010
Phone: (701) 746-8376
Fax: (701) 746-9872
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 80 (ND)

Record details

NPI number1205866472
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESJuly 9, 2007
Mailing address2808 17th Ave S, Grand Forks, ND 58201-4010

Other providers in Grand Forks