Provider Demographics
NPI:1104691054
Name:DELGADO, CAROLYNNE JOIE (MA, MED)
Entity type:Individual
Prefix:
First Name:CAROLYNNE
Middle Name:JOIE
Last Name:DELGADO
Suffix:
Gender:F
Credentials:MA, MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 SUMMIT TER
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-4024
Mailing Address - Country:US
Mailing Address - Phone:210-332-0825
Mailing Address - Fax:
Practice Address - Street 1:20 SUMMIT TER
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-4024
Practice Address - Country:US
Practice Address - Phone:210-332-0825
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-21
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health