Doctor Name: | DR. CAROL H POLLARD |
NPI Number: | 1023197654 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSYD |
License Number: | 19341 |
Business Practice Address: | 16 Jeanette Prandi Way Marin Co Juvenile Hall San Rafael, CA - 94903 |
Business Phone Number: | 4154996894 |
Business Fax Number: | |
Mailing Address: | 763 Crocus Dr, SONOMA |
State: | CA |
Postal Code: | 95476 |
Phone Number: | 7079339334 |
Fax Number: | |
NPI Enumeration Date: | 11/03/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 19341 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |