Chicota-Carroll, Cammy

Chicota-Carroll, Cammy is an individual health care provider with primary practice located at 3551 Roger Brooke Dr , Jbsa Ft Sam Houston TX 78234-4504. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Chicota-Carroll, Cammy can be contacted via phone (210) 916-7641.

Contact Information

Primary practice address
3551 Roger Brooke Dr Jbsa Ft Sam Houston TX 78234-4504
Phone: (210) 916-7641
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PY00003655 Washington

Profile Details

NPI number 1073660262
LBN Legal business name Chicota-Carroll, Cammy
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Mar 4th, 2024 - about 2 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 1073660262 NPPES
Texas Other 37844 LICENSE

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