Carol J Visser


Address: 11601 Blocker Dr, Suite 205, Auburn, CA 95603-4650

Carol J Visser (NPI# 1831362011, PAC ID# 8628137361) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.

Physician Overview

Nation Provider ID (NPI) 1831362011
PAC ID by PECOS 8628137361
Professional Enrollment ID I20081110000408
Full Name Carol J Visser
Address 11601 Blocker Dr
Suite 205
Auburn
CA 95603-4650
Gender F
Graduation Year 1979
Primary Specialty PSYCHOLOGIST, CLINICAL
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
11601 Blocker Dr, Suite 205, Auburn, CA 95603-4650

Organization Information

Office Location

Street Address 11601 BLOCKER DR
SUITE 205
City AUBURN
State CA
Zip 95603-4650

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Competitor

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City AUBURN
Zip Code 95603
Specialty PSYCHOLOGIST, CLINICAL
City + Specialty AUBURN + PSYCHOLOGIST, CLINICAL

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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