Phelps, Carolyn F

Phelps, Carolyn F is an individual health care provider with primary practice located at 302 W Superior St Ste 502 , Duluth MN 55802-5115. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Phelps, Carolyn F can be contacted via phone (218) 606-1844.

Contact Information

Primary practice address
302 W Superior St Ste 502 Duluth MN 55802-5115
Fax: (218) 606-1855
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X LP3015 Minnesota

Profile Details

NPI number 1356386023
LBN Legal business name Phelps, Carolyn F
Credentials PH.D, LP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Feb 9th, 2022 - about 4 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 1356386023 NPPES
Minnesota MEDICAID 758015100

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