Individual
ELEANOR CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
941 FOXBOROUGH RD, CHARLOTTE, NC 28213-5765
(980) 253-6150
(704) 598-2490
Mailing address
941 FOXBOROUGH RD, CHARLOTTE, NC 28213-5765
(980) 253-6150
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2774
NC
103TC0700X
Clinical Psychologist
2774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6000279
—
NC
Enumeration date
01/21/2007
Last updated
05/19/2020
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