Provider Demographics
NPI:1033927231
Name:ARTHUR, CAROL M (EDS)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:M
Last Name:ARTHUR
Suffix:
Gender:F
Credentials:EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23530 F D R BLVD UNIT 202
Mailing Address - Street 2:
Mailing Address - City:CALIFORNIA
Mailing Address - State:MD
Mailing Address - Zip Code:20619-7048
Mailing Address - Country:US
Mailing Address - Phone:240-298-5976
Mailing Address - Fax:
Practice Address - Street 1:GREENVIEW KNOLLS ELEMENTARY SCHOOL
Practice Address - Street 2:45711 MILITARY LANE
Practice Address - City:GREAT MILLS
Practice Address - State:MD
Practice Address - Zip Code:20634
Practice Address - Country:US
Practice Address - Phone:301-863-4095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-20
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool