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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073660262 | NPPES |
| Texas | Other | 37844 | LICENSE |
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