Organization
KAROL, PC
Active
Other names
Karol Neuropsychological Services & Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT L. KAROL PH.D., L.P. (OWNER)
(952) 944-5502
Entity
Organization
Contact information
Practice address
11800 SINGLETREE LN, #203, EDEN PRAIRIE, MN 55344-5328
(952) 944-5502
Mailing address
9637 ANDERSON LAKES PKWY, SUITE 162, EDEN PRAIRIE, MN 55344-4155
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47538KA
BLUE CROSS BLUE SHIELD MN
MN
Enumeration date
02/07/2006
Last updated
10/17/2007
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