Individual
DR. KEVIN EDWARD CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
450 STANYAN ST, 400E, REHABILITATION, SAN FRANCISCO, CA 94117-1079
(415) 750-5805
Mailing address
41 BRUCE CT, PLEASANT HILL, CA 94523-3601
(415) 750-5805
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
15690
CA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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