Individual
WILLIAM MARTIEN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
109 TALISMAN, HOT SPRINGS, AR 71901-7454
(501) 623-7392
(501) 623-7392
Mailing address
PO BOX 20705, HOT SPRINGS, AR 71903-0705
(501) 623-7392
(501) 623-7392
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
737P
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56151
BLUE CROSS/ BLUE SHIELD
AR
Enumeration date
02/02/2006
Last updated
12/12/2007
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