Dr. Richard Carolan, EdD./ Psychologist
Psychologist, Clinical in Petaluma, CA. Individual provider (NPI-1).
NPI number1760637607
StatusActive
Last updated in NPPESNov 19, 2008
Details
- NPI
- 1760637607
- Entity type
- Individual (NPI-1)
- Name
- Dr. Richard Carolan
- Credential
- EdD./ Psychologist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 19, 2008
- Last updated
- Nov 19, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PSY 14289 | CA | Yes |
| 103TF0000X | Psychologist, Family | PSY 14289 | CA | |
| 103TP2701X | Psychologist, Group Psychotherapy | PSY 14289 | CA |
Practice location
7 4th StreetSuite 29
Petaluma, CA 94952
Phone 707-971-0212
Mailing address
7 4th StreetSuite 29
Petaluma, CA 94952
Phone 707-971-0212
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