TIMOTHY D CARROLL

PROVIDENCE, RI
NPI1205018868
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: RI  PS01978)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2007-12-05
Last Update Date2021-09-27
Business Address
TIMOTHY D CARROLL BA
593 EDDY ST
PROVIDENCE, RI 02903-4923
Phone number: 401-444-4779
Mailing Address
TIMOTHY D CARROLL BA
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 02905-4541
Phone number: 401-444-6779
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