Patrick J. Carroll is a Clinical in Willmar, Minnesota. Patrick J. Carroll practices all healthcare services and medical treatments related to Clinical. The NPI Number for Patrick J. Carroll is 1235194382. The last update date is 2007-07-09.
Patrick J. Carroll's current location address is 1525 15th Ave Sw, Willmar, Minnesota. You can contact this provider via phone number 3202356958. The mailing address for Patrick J. Carroll is 1525 15th Ave Sw, Willmar, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrick J. Carroll |
|---|---|
| Address | 1525 15th Ave Sw, Willmar, Minnesota |
| Phone Number | 3202356958 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | M.A. |
NPI Number Detail
| NPI Number | 1235194382 |
|---|---|
| Provider Enumeration Date | 2006-04-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1525 15th Ave Sw |
|---|---|
| City | Willmar |
| State | Minnesota (MN) |
| Post Code | 562012883 |
| Phone Number | 3202356958 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | LP 1747 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 45119CA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique identifier code issued to Patrick J. Carroll by the Centers for Medicare & Medicaid Services (CMS)?
The Patrick J. Carroll has been assigned the NPI (National Provider Identifier) 1235194382. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Patrick J. Carroll is physically located?
The Patrick J. Carroll is situated at the following address: 1525 15Th Ave Sw, Willmar, MN 562012883.
What is Patrick J. Carroll's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Patrick J. Carroll is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235194382 to Patrick J. Carroll?
The Centers for Medicare & Medicaid Services originally issued the 1235194382 to Patrick J. Carroll on 2006-04-20.
When was the information pertaining to Patrick J. Carroll most recently updated or revised?
The details related to Patrick J. Carroll, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-09.
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