Provider Demographics
NPI:1588491245
Name:CARROLL, SHEILA (PHD)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:
Last Name:CARROLL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3603 FM 17
Mailing Address - Street 2:
Mailing Address - City:GRAND SALINE
Mailing Address - State:TX
Mailing Address - Zip Code:75140-4022
Mailing Address - Country:US
Mailing Address - Phone:903-651-1186
Mailing Address - Fax:
Practice Address - Street 1:3603 FM 17
Practice Address - Street 2:
Practice Address - City:GRAND SALINE
Practice Address - State:TX
Practice Address - Zip Code:75140-4022
Practice Address - Country:US
Practice Address - Phone:903-651-1186
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-17
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty