Doctor Name: | MS. CAROL S SEGLER |
NPI Number: | 1578633574 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.N,M.S.,CNS |
License Number: | |
Business Practice Address: | 1010 Sir Frances Sir Frances Drake Boulevard Kentfield, CA - 94904 |
Business Phone Number: | 4154616432 |
Business Fax Number: | |
Mailing Address: | 187 Whittier Ave, SAN RAFAEL |
State: | CA |
Postal Code: | 949032832 |
Phone Number: | 4154616432 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |