Carroll-Wray, Kathleen

Carroll-Wray, Kathleen is an individual health care provider with primary practice located at 2665 30Th St Ste 213 , Santa Monica CA 90405-3025. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Carroll-Wray, Kathleen can be contacted via phone (323) 306-0736.

Contact Information

Primary practice address
2665 30Th St Ste 213 Santa Monica CA 90405-3025
Phone: (323) 306-0736
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 32008 California

Profile Details

NPI number 1124631312
LBN Legal business name Carroll-Wray, Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2020
Last updated Jul 22nd, 2026 - about 3 months 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 1124631312 NPPES
California Other 4608414 BUSINESS ENTITY NUMBER

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