Provider Demographics
NPI:1225000979
Name:AALBERS, CAROL J (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:J
Last Name:AALBERS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:J
Other - Last Name:AALBERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD, LLC
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
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVPYO345103TC1900X, 103T00000X
NV0583106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV101095Medicare ID - Type UnspecifiedMEDICARE GROUP NUMBER
NV101096Medicare ID - Type UnspecifiedMEDICARE INDIVIDUAL