Thomas Paul Carrillo Ph.d.,l.p.p.a.
NPI #1154582138 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1154582138
- Entity Type
- Organization
- Organization Name
- Thomas Paul Carrillo Ph.d.,l.p.p.a.
- Primary Specialty
- Psychologist
- Enumeration Date
- Jun 22, 2008
- Last Updated
- Jun 22, 2008
Practice Location
- Address
- 400 S 4TH ST
- Address 2
- 854
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55415-1411
- Phone
- (612) 288-5000
Authorized Official
- Name
- DR. THOMAS PAUL CARRILLO, PH.D.
- Title
- PRESIDENT
- Phone
- (612) 288-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist |
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