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Individual

DR. EDWARD NICHOLAS CARROL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
(216) 707-5905
Mailing address
21490 CLAYTHORNE RD, SHAKER HEIGHTS, OH 44122-1964
(216) 791-3800
(216) 707-5905

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
3106
OH

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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