Provider Demographics
NPI:1265780928
Name:CARROLL, FRANCES (PSYD)
Entity type:Individual
Prefix:DR
First Name:FRANCES
Middle Name:
Last Name:CARROLL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1864 INDEPENDENCE SQ
Mailing Address - Street 2:SUITE A
Mailing Address - City:DUNWOODY
Mailing Address - State:GA
Mailing Address - Zip Code:30338-5173
Mailing Address - Country:US
Mailing Address - Phone:770-668-0350
Mailing Address - Fax:770-668-0417
Practice Address - Street 1:1864 INDEPENDENCE SQ
Practice Address - Street 2:SUITE A
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-5173
Practice Address - Country:US
Practice Address - Phone:770-668-0350
Practice Address - Fax:770-668-0417
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-28
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY003575103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical