Mcmicken, Carolyn T

Mcmicken, Carolyn T is an sole proprietor health care provider with primary practice located at 104 Newport Ln , North Wales PA 19454-1458. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Mcmicken, Carolyn T can be contacted via phone (215) 699-6356.

Contact Information

Primary practice address
104 Newport Ln North Wales PA 19454-1458
Phone: (215) 699-6356
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS016116 Pennsylvania

Profile Details

NPI number 1407085236
LBN Legal business name Mcmicken, Carolyn T
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2009
Last updated Jul 14th, 2009 - about 17 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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