Kevin Edward Carroll in Pleasant Hill - Clinical Neuropsychologist
Kevin Edward Carroll - NPI 1396960670
Kevin Edward Carroll is a Clinical Neuropsychologist in Pleasant Hill, California. Kevin Edward Carroll practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Kevin Edward Carroll is 1396960670. The last update date is 2007-07-08.
Kevin Edward Carroll's current location address is 41 Bruce Ct, Pleasant Hill, California. You can contact this provider via phone number 4157505805. The mailing address for Kevin Edward Carroll is 41 Bruce Ct, Pleasant Hill, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Edward Carroll |
|---|---|
| Address | 41 Bruce Ct, Pleasant Hill, California |
| Phone Number | 4157505805 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1396960670 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 41 Bruce Ct |
|---|---|
| City | Pleasant Hill |
| State | California (CA) |
| Post Code | 945233601 |
| Phone Number | 4157505805 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 15690 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique 10-digit identifier code issued to Kevin Edward Carroll by the Centers for Medicare & Medicaid Services?
The Kevin Edward Carroll has been assigned the NPI (National Provider Identifier) 1396960670 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kevin Edward Carroll?
The Kevin Edward Carroll is physically situated at 41 Bruce Ct, in the city of Pleasant Hill, state of CA, with the postal code 945233601.
What is the area of specialization for Kevin Edward Carroll, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kevin Edward Carroll is Clinical Neuropsychologist, and the corresponding taxonomy code that categorizes this area of expertise is 103G00000X.
On what date did the Kevin Edward Carroll receive the assignment of its 1396960670 from the Centers for Medicare & Medicaid Services?
The Kevin Edward Carroll was issued its 1396960670 by the Centers for Medicare & Medicaid Services on 2007-04-13.
As of what date were the Kevin Edward Carroll's details last updated?
The information pertaining to the Kevin Edward Carroll, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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