Individual
PATRICK J. CARROLL
Active
Individual
PATRICK J. CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP 1747
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45119CA
BLUE CROSS BLUE SHIELD
—
Enumeration date
04/20/2006
Last updated
07/13/2026
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