Carroll, Timothy D

Carroll, Timothy D is an individual health care provider with primary practice located at 593 Eddy St , Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Carroll, Timothy D can be contacted via phone (401) 444-4779.

Contact Information

Primary practice address
593 Eddy St Providence RI 02903-4923
Phone: (401) 444-4779
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS01978 Rhode Island

Profile Details

NPI number 1205018868
LBN Legal business name Carroll, Timothy D
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 5th, 2007
Last updated Sep 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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