Provider Demographics
NPI:1194071340
Name:CARR, MARY SARAH (MA)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:SARAH
Last Name:CARR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 MOUNTAIN ST
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01070-9757
Mailing Address - Country:US
Mailing Address - Phone:413-695-9702
Mailing Address - Fax:
Practice Address - Street 1:238 MAIN ST STE 4
Practice Address - Street 2:CHD
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3243
Practice Address - Country:US
Practice Address - Phone:413-774-6252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health