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Contact Information

KENNETH J CARR, PhD
641 N FOWLER AVE
APT #255
CLOVIS, CA93611-6610
 Phone: 209-201-2299
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for KENNETH J CARR · (Male)

NPI Number 1275971665
Status Active
Credentials PhD
Entity Individual
Enumeration date 06/07/2013
Last updated 06/07/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 0000000000
  • CA License # 00000000000
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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