Deborah Susan Kroll in Eagle River - Clinical Child & Adolescent

Deborah Susan Kroll - NPI 1598980153

Deborah Susan Kroll is a Clinical Child & Adolescent in Eagle River, Alaska. Deborah Susan Kroll practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Deborah Susan Kroll is 1598980153. The last update date is 2007-07-08.

Deborah Susan Kroll's current location address is 17615 Lacey Dr, Eagle River, Alaska. You can contact this provider via phone number 9076963119. The mailing address for Deborah Susan Kroll is 17615 Lacey Dr, Eagle River, Alaska. To know further, please read the information below!

Provider Profile Detail

Provider Name Deborah Susan Kroll
Address 17615 Lacey Dr, Eagle River, Alaska
Phone Number 9076963119
Fax Number
Sole Proprietor N
Credentials PH.D., ED.

NPI Number Detail

NPI Number 1598980153
Provider Enumeration Date 2007-04-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 17615 Lacey Dr
City Eagle River
State Alaska (AK)
Post Code 995778207
Phone Number 9076963119
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No AK 552
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Deborah Susan Kroll

What is the unique identifier code issued to Deborah Susan Kroll by the Centers for Medicare & Medicaid Services?

The Deborah Susan Kroll has been assigned the NPI (National Provider Identifier) 1598980153. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Deborah Susan Kroll is physically located?

The Deborah Susan Kroll is physically situated at the following address: 17615 Lacey Dr, Eagle River, AK, 995778207.

What is Deborah Susan Kroll'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 Deborah Susan Kroll is Clinical Child & Adolescent, and the taxonomy classification code that categorizes this area of expertise is 103Tc2200X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1598980153 to Deborah Susan Kroll?

The Centers for Medicare & Medicaid Services originally issued the 1598980153 to Deborah Susan Kroll on 2007-04-17.

When was the information regarding Deborah Susan Kroll, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Deborah Susan Kroll, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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