NPI 1225480171 · live from the CMS NPI Registry
Brion Carroll
Psychologist in Providence, RI. National Provider Identifier 1225480171, active.
NPI record
| NPI | 1225480171 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist 103T00000X |
| Practice location | 205 Sessions St, Providence, RI 02906 |
| Practice phone | 401-829-0675 |
| Enumerated | July 4, 2016 |
| Last updated | July 4, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 4207 (MA) |
| Psychologist primary | 103T00000X | PS00774 (RI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.