Mottola, Carolyn Anne

Mottola, Carolyn Anne is an individual health care provider with primary practice located at 1020 S Anaheim Blvd Suite 215, Anaheim CA 92708. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mottola, Carolyn Anne can be contacted via phone (714) 237-4440.

Contact Information

Primary practice address
1020 S Anaheim Blvd Suite 215 Anaheim CA 92708
Phone: (714) 237-4440
Fax: (714) 839-7460
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY10163 California

Profile Details

NPI number 1174504138
LBN Legal business name Mottola, Carolyn Anne
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1174504138 NPPES
California Other OPL101631 BLUE SHIELD
California Other 4124629 BLUE SHIELD
California Other 077554 BLUE SHIELD

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