| NPI | 1386842664 |
|---|---|
| Professional Name | RUSSELL THOMAS CARROLL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2020-05-11 |