Individual provider · Type 1 NPI
Edward Nicholas Carrol, PhD
Health Service Psychologist · Cleveland, OH
Practice location
10701 East Blvd
Cleveland, OH 44106-1702
Fax (216) 707-5905
Mailing address
21490 Claythorne Rd
Shaker Heights, OH 44122-1964
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 3106 (OH) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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About NPI 1619086618
Edward Nicholas Carrol, PhD's National Provider Identifier is 1619086618, issued on Aug 30, 2006. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Cleveland, OH. The record was last updated on Jul 8, 2007.