Timothy D Carroll in Providence - Clinical
Timothy D Carroll - NPI 1205018868
Timothy D Carroll is a Clinical in Providence, Rhode Island. Timothy D Carroll practices all healthcare services and medical treatments related to Clinical. The NPI Number for Timothy D Carroll is 1205018868. The last update date is 2021-09-27.
Timothy D Carroll's current location address is 117 Ellenfield St Ste 101, Providence, Rhode Island. You can contact this provider via phone number 4014446779 and fax number 8285865450. The mailing address for Timothy D Carroll is 117 Ellenfield St Ste 101, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Timothy D Carroll |
|---|---|
| Address | 117 Ellenfield St Ste 101, Providence, Rhode Island |
| Phone Number | 4014446779 |
| Fax Number | 8285865450 |
| Sole Proprietor | N |
| Credentials | BA |
NPI Number Detail
| NPI Number | 1205018868 |
|---|---|
| Provider Enumeration Date | 2007-12-05 |
| Last Updated Date | 2021-09-27 |
Provider Mailing Address Detail
| Address | 117 Ellenfield St Ste 101 |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29054541 |
| Phone Number | 4014446779 |
| Fax Number | 8285865450 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS01978 |
|
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 |
|
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy D Carroll by the Centers for Medicare & Medicaid Services?
The Timothy D Carroll has been issued the NPI (National Provider Identifier) 1205018868, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Timothy D Carroll?
The Timothy D Carroll is physically situated at 117 Ellenfield St Ste 101, in the city of Providence, state of RI, with the postal code 29054541.
What is Timothy D Carroll's area of expertise and its corresponding taxonomy classification?
The Timothy D Carroll's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1205018868 to Timothy D Carroll?
The Timothy D Carroll received its 1205018868 assignment from the Centers for Medicare & Medicaid Services on 2007-12-05.
As of what date was the information regarding Timothy D Carroll, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Timothy D Carroll, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-09-27.
Address: Po Box 2333, Clay, NY
Address: 850 N Harrison St, Warsaw, IN
Address: 1143 Deer Trail Ln, Solvang, CA
Address: 7840 Oracle Pl, Potomac, MD
Address: Po Box 1289, Tampa, FL
Address: 727 N Waco Ave, Wichita, KS
Address: 1115 Elkton Dr, Colorado Springs, CO
Address: 501 S Washington St, Swayzee, IN
Address: 1709 Colley Ave, Norfolk, VA
Address: 3500 Depauw Blvd Ste 3070, Indianapolis, IN
Address: 54045 Ridge Rd, Yucca Valley, CA
Address: 7600 Osler Dr, Towson, MD
Address: 3000 Citrus Cir, Walnut Creek, CA
Address: 41 Park Ave, New York, NY
Address: 1935 County Road B2 W Ste 270, Roseville, MN