Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 3520 | MA |
N | 225C00000X | Rehabilitation Counselor | 1108 | MA |
NPI | 1275710709 |
---|---|
Provider Name | Dennis Robert Carchedi |
First Address | Plymouth, MA 02360-3214 |
Second Address | Plymouth, MA 02360-3214 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2008 |
Last Update Date | 28/01/2008 |