Carroll, Timothy Kennell
Carroll, Timothy Kennell is an sole proprietor health care provider with primary practice located at 4790 N Winners Cir Unit A , Palm Springs CA 92264-5868. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Carroll, Timothy Kennell can be contacted via phone (707) 479-6048.Contact Information
Primary practice address
4790 N Winners Cir Unit A
Palm Springs CA 92264-5868
Phone: (707) 479-6048
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY15865 | California |
Profile Details
| NPI number | 1952468787 |
|---|---|
| LBN Legal business name | Carroll, Timothy Kennell |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Aug 27th, 2020 - about 6 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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