| Doctor Name: | CARRIE J CHOMICZ |
| NPI Number: | 1134220395 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD LP |
| License Number: | LP4616 |
| Business Practice Address: | Range Mental Health Center Perpich Building 3203 W 3rd Ave Hibbing, MN - 55746 |
| Business Phone Number: | 2182639237 |
| Business Fax Number: | 2182623150 |
| Mailing Address: | Range Mental Health Center Perpich Building, 3203 W 3rd Ave HIBBING |
| State: | MN |
| Postal Code: | 55746 |
| Phone Number: | 2182639237 |
| Fax Number: | 2182623150 |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 09/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | LP4616 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |