Ross, Carolyn M

Ross, Carolyn M is an individual health care provider with primary practice located at 700 E Township Line Rd Suite 101, Havertown PA 19083-5733. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Ross, Carolyn M can be contacted via phone (610) 853-2340.

Contact Information

Primary practice address
700 E Township Line Rd Suite 101 Havertown PA 19083-5733
Phone: (610) 853-2340
Fax: (610) 853-2343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X CW014491 Pennsylvania

Profile Details

NPI number 1972690402
LBN Legal business name Ross, Carolyn M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 17 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 1972690402 NPPES
Pennsylvania Other 7758293 AETNA

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