Kathleen M Carroll in Brandon - Psychiatry
Kathleen M Carroll - NPI 1710970595
Kathleen M Carroll is a Psychiatry in Brandon, Florida. Kathleen M Carroll practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Kathleen M Carroll is 1710970595. The last update date is 2007-07-09.
Kathleen M Carroll's current location address is 336 E Bloomingdale Ave, Brandon, Florida. You can contact this provider via phone number 8136892466 and fax number 8136890435. The mailing address for Kathleen M Carroll is 336 E Bloomingdale Ave, Brandon, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen M Carroll |
|---|---|
| Address | 336 E Bloomingdale Ave, Brandon, Florida |
| Phone Number | 8136892466 |
| Fax Number | 8136890435 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710970595 |
|---|---|
| Provider Enumeration Date | 2005-08-26 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 336 E Bloomingdale Ave |
|---|---|
| City | Brandon |
| State | Florida (FL) |
| Post Code | 335118155 |
| Phone Number | 8136892466 |
| Fax Number | 8136890435 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | ME0076947 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 79367 | FL | BCBS ID |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kathleen M Carroll by the Centers for Medicare & Medicaid Services?
The Kathleen M Carroll has been issued the NPI (National Provider Identifier) 1710970595 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Kathleen M Carroll is geographically located?
The Kathleen M Carroll is physically situated at the following location: 336 E Bloomingdale Ave, Brandon, FL, 335118155.
What is Kathleen M Carroll's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kathleen M Carroll is Psychiatry, and the taxonomy code that categorizes this field of expertise is 2084P0800X.
When did Kathleen M Carroll receive its 1710970595 assignment?
The Kathleen M Carroll was assigned its 1710970595 on 2005-08-26, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kathleen M Carroll most recently updated?
The details pertaining to the Kathleen M Carroll, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.