Individual
DR. JAMES R CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
7908 CINCINNATI DAYTON RD, SUITE SA, WEST CHESTER, OH 45069-6602
(513) 777-5500
(513) 777-8857
Mailing address
4254 TYLERSVILLE ROAD, HAMILTON, OH 45011-8634
(513) 874-4889
(513) 777-8857
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3361
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000002349
ANTHEM BLUE CROSS/BLUE SH
OH
01
—
0005803022
AETNA
OH
Enumeration date
10/03/2006
Last updated
07/08/2007
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