William Martien Carroll, PHD
Individual provider Active NPI Clinical Psychologist · Hot Springs, AR
NPI 1528030723 · NPPES record last updated Dec 12, 2007
Key facts
- NPI
- 1528030723
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 737P (AR)
- Practice address
- 109 Talisman
Hot Springs, AR 71901-7454 - Phone
- (501) 623-7392
- Fax
- (501) 623-7392
- NPI assigned
- Feb 2, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 737P | AR | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 737P | AR | Yes |
Addresses
Primary practice location
109 Talisman
Hot Springs, AR 71901-7454
Mailing address
PO Box 20705
Hot Springs, AR 71903-0705
Phone (501) 623-7392
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56151 | Other | AR | BLUE CROSS/ BLUE SHIELD |
Other names
- Martien Carroll
Other providers in Hot Springs, AR
- Shelbi R Carpenter
- Jeffrey A Carr
- Rebekah Carr
- Elizabeth Carrel
- Hunter K Carrington
- Carson Chiropractic, Inc
- Jeffrey James Carson
- Brian Carter
- Gary Wade Carter
- James Robert Carter
All providers in Hot Springs, AR · Clinical Psychologist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.