Organization
ALONGSIDE PSYCHOLOGICAL SERVICES INC.
Active
Other names
Carroll-Wray Psychological Services Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN CARROLL-WRAY PSYD (OWNER)
(847) 732-2717
Entity
Organization
Contact information
Practice address
1514 17TH ST, SANTA MONICA, CA 90404-3442
(847) 732-2717
Mailing address
1514 17TH ST STE 202, SANTA MONICA, CA 90404-3443
(323) 306-0736
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124631312
NPI
—
Enumeration date
06/23/2022
Last updated
12/05/2022
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