Carol Becker, PHD
Individual provider Active NPI Clinical Psychologist · Watertown, MA
NPI 1508902115 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508902115
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 3795 (MA)
- Practice address
- 51 Kondazian St
Watertown, MA 02472-2830 - Phone
- (617) 924-2606
- Fax
- (617) 924-5111
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3795 | MA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 3795 | MA | Yes |
Addresses
Primary practice location
51 Kondazian St
Watertown, MA 02472-2830
Mailing address
58 Todd Pond Rd
Lincoln, MA 01773-3808
Phone (781) 259-0921
Other providers in Watertown, MA
- Mark R Bauer
- Edward V. Bauman
- Bay State Urologists Inc
- Beaverbrook Step, Inc.
- Margaret Ann Beck
- Molly Kate Been
- Joshua Bellini
- Sarah Berkoff
- Best Quality Home Care LLC
- Stephanie Bianchi
All providers in Watertown, MA · Clinical Psychologist in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.