Doctor Name: | DR. CAROLYN F. ANDREWS |
NPI Number: | 1013985241 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH. D. |
License Number: | |
Business Practice Address: | 3001 6th St Ste A Naval Health Clinic, Bldg 200-h 9-n Mental Health Cntr Great Lakes, IL - 600882833 |
Business Phone Number: | 8476882221 |
Business Fax Number: | 8476882697 |
Mailing Address: | 3001 6th St Ste A, Naval Health Clinic, Bldg 200-h 9-n Mental Health Cntr GREAT LAKES |
State: | IL |
Postal Code: | 600882833 |
Phone Number: | 8476882221 |
Fax Number: | 8476882697 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |