Organization Name: | KAROL, PC |
NPI Number: | 1053383679 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT L. KAROL (OWNER) |
Mailing Address: | 11800 Singletree Ln #203 Eden Prairie |
State: | MN US |
Postal Code: | 553445328 |
Phone Number: | 9529445502 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2006 |
NPI Last Update Date: | 10/17/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |