KATHLEEN CARROLL-WRAY


Address: 818 W 7th St Ste 930, Los Angeles, CA 90017-3476
Phone: 3233060736

KATHLEEN CARROLL-WRAY (NPI# 1124631312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124631312
Entity Type Individual
Full Name KATHLEEN CARROLL-WRAY
Practice Address 818 W 7th St Ste 930
Los Angeles
CA 90017-3476
Practice Telephone 3233060736
Enumeration Date 2020-08-26
Last Update Date 2020-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
32008 CA Behavioral Health & Social Service Providers

Office Location

Street Address 818 W 7TH ST STE 930
City LOS ANGELES
State CA
Zip Code 90017-3476

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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1740776848 Patricia Z Tan Psychologist 300 Medical Plaza #2200, Los Angeles, CA 90095-0001 2018-07-02
1679016976 Iris Finger Psychologist 150 Medical Plaza, Suite 4238b, Los Angeles, CA 90024 2016-11-18
1275901928 Alycia Davis Psychologist 1000 Veteran Ave., Los Angeles, CA 90095-7142 2015-09-11
1609242999 Hilary Adams Psychologist 250 E 1st St Ste 300, Los Angeles, CA 90012 2015-08-20
1982002325 Samantha Levy Psychologist 2305 Pelham Ave, Los Angeles, CA 90064-2211 2014-12-17
1407264609 Carin Laue Psychologist 12777 W Jefferson Blvd, Building D, Suite 300, Los Angeles, CA 90066-7048 2014-07-31
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1285933184 Lindsey Jana Sterling Psychologist 760 Westwood Plz # 27-370d, Los Angeles, CA 90095-8353 2011-03-18
1154639953 Karen Shawn Makoff Psychologist 12304 Santa Monica Blvd Ste 203, Los Angeles, CA 90025-2551 2010-09-15
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Competitor

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City LOS ANGELES
Zip Code 90017

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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