Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 7540 | MA |
NPI | 1093872053 |
---|---|
Provider Name | Dr. Maureen Carnes |
First Address | Scituate, MA 02066 |
Second Address | Scituate, MA 02066-4225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/01/2007 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1005740 | BEACON HEALTH STRATEGIES (01) | MA |
1890077 | (05) | MA |
W05896 | BLUE CROSS (01) | MA |