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
Health care specialties
Specialty | Code | License # | 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 4 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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