Provider Demographics
NPI:1538365390
Name:CAROL J AALBERS PHD LLC
Entity type:Organization
Organization Name:CAROL J AALBERS PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:AALBERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:775-882-0687
Mailing Address - Street 1:205 S MINNESOTA ST
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-4269
Mailing Address - Country:US
Mailing Address - Phone:775-882-0687
Mailing Address - Fax:775-882-9043
Practice Address - Street 1:205 S MINNESOTA ST
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-4269
Practice Address - Country:US
Practice Address - Phone:775-882-0687
Practice Address - Fax:775-882-9043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-26
Last Update Date:2007-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPYO543103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV101095Medicare ID - Type UnspecifiedGROUP