Tammy Carroll

NPI #1760009955 in Trenton, Illinois

Provider Information

NPI Number: 1760009955
Entity Type: Individual
Name: Tammy Carroll
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Enumeration Date: Jul 3, 2020
Last Updated: Jul 3, 2020

Practice Location

Address: 3801 LAKE CT
City: Trenton
State: Illinois
ZIP Code: 62293-2938
Phone: (573) 382-0732

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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