Provider Demographics
NPI:1568677466
Name:RICHMAN, CAROLYN BATES (BS PSYCH)
Entity type:Individual
Prefix:MRS
First Name:CAROLYN
Middle Name:BATES
Last Name:RICHMAN
Suffix:
Gender:F
Credentials:BS PSYCH
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:
Other - Last Name:BATES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 ROCKAWAY AVE
Mailing Address - Street 2:
Mailing Address - City:MARBLEHEAD
Mailing Address - State:MA
Mailing Address - Zip Code:01945-1726
Mailing Address - Country:US
Mailing Address - Phone:781-639-2813
Mailing Address - Fax:
Practice Address - Street 1:275 LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-5404
Practice Address - Country:US
Practice Address - Phone:978-744-7037
Practice Address - Fax:978-741-8175
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist