Gregory Dale Carpenter, M.DIV

Individual provider Active NPI Marriage & Family Therapist · Seekonk, MA

NPI 1770801185 · NPPES record last updated May 10, 2010

Key facts

NPI
1770801185
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
247 (MA)
Practice address
546 Arcade Ave Ste 6
Seekonk, MA 02771-5130
Phone
(401) 265-2951
Fax
(508) 557-1387
NPI assigned
May 10, 2010
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
247MAMDHearing Instrument Specialist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 247 MA Yes

Addresses

Primary practice location

546 Arcade Ave Ste 6
Seekonk, MA 02771-5130

Mailing address

546 Arcade Ave Ste 6
Seekonk, MA 02771-5130
Phone (401) 265-2951

Other providers in Seekonk, MA

All providers in Seekonk, MA · Marriage & Family Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.