Healthcare Provider Details
I. General information
NPI: 1922525336
Provider Name (Legal Business Name): CAROL J AALBERS PHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
205 S MINNESOTA ST
CARSON CITY NV
89703-4269
US
IV. Provider business mailing address
205 S MINNESOTA ST
CARSON CITY NV
89703-4269
US
V. Phone/Fax
- Phone: 775-882-0687
- Fax: 775-882-9043
- Phone: 775-882-0687
- Fax: 775-882-9043
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC1900X |
| Taxonomy | Counseling Psychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
CAROL
J
AALBERS
Title or Position: OWNER / PSYCHOLOGIST
Credential: PH.D.
Phone: 775-882-0687