Individual
JEFF CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
854 WASHINGTON AVE, SUITE 330, HOLLAND, MI 49423-7144
(616) 355-3926
Mailing address
602 MICHIGAN AVE, HOLLAND, MI 49423-4918
(616) 392-5141
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301006647
MI
Other
Enumeration date
02/06/2007
Last updated
08/10/2010
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