DR. LYNNE CARROLL


Address: 13111 Atlantic Blvd, Suite 2, Jacksonville, FL 32225-6113
Phone: 9042393677

DR. LYNNE CARROLL (NPI# 1578999249) 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) 1578999249
Entity Type Individual
Full Name DR. LYNNE CARROLL
Credential PHD
Practice Address 13111 Atlantic Blvd
Suite 2
Jacksonville
FL 32225-6113
Mailing Address Po Box 54723
Jacksonville
FL 32245-4723
Practice Telephone 9042393677
Practice Fax Number 9048664029
Mailing Telephone 9042393677
Mailing Fax Number 9048664029
Enumeration Date 2013-09-25
Last Update Date 2013-09-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
PY8827 FL Behavioral Health & Social Service Providers

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Office Location

Street Address 13111 ATLANTIC BLVD
SUITE 2
City JACKSONVILLE
State FL
Zip Code 32225-6113

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609975374 John Morello Md Dermatology 13111 Atlantic Blvd, Suite #4, Jacksonville, FL 32225 2006-09-21
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1770873820 Rachel Anne Starnes Specialist 13111 Atlantic Blvd, Suite 2, Jacksonville, FL 32225 2011-04-11

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1962568394 Edward Calhoun Taylor Psychologist 3750 San Jose Pl, Suite 35, Jacksonville, FL 32257-8858 2006-12-29
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1760880165 Lauren Timney Psychologist 11555 Central Pkwy, Suite 704, Jacksonville, FL 32224-2691 2014-12-17
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1326375197 Melissa Stephanie Roffman Psychologist 915 W Monroe St, Suite 200, Jacksonville, FL 32204-1177 2009-11-16

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Competitor

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City JACKSONVILLE
Zip Code 32225

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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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