Individual
DR. BRION CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 SESSIONS ST, PROVIDENCE, RI 02906-3442
(401) 829-0675
Mailing address
205 SESSIONS ST, PROVIDENCE, RI 02906-3442
(401) 829-0675
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4207
MA
103T00000X
Psychologist
Primary
PS00774
RI
Other
Enumeration date
07/04/2016
Last updated
07/04/2016
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