Provider Demographics
NPI:1306960083
Name:DECARR, NANCY LYNN (MA)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNN
Last Name:DECARR
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 1:14 MARY WAY
Mailing Address - Street 2:
Mailing Address - City:FOXBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02035-2779
Mailing Address - Country:US
Mailing Address - Phone:508-698-6843
Mailing Address - Fax:508-698-6829
Practice Address - Street 1:14 MARY WAY
Practice Address - Street 2:
Practice Address - City:FOXBORO
Practice Address - State:MA
Practice Address - Zip Code:02035-2779
Practice Address - Country:US
Practice Address - Phone:508-698-6843
Practice Address - Fax:508-698-6829
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA499231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist