Fleiss, Carolyn Boyd
Fleiss, Carolyn Boyd is an individual health care provider with primary practice located at 111 Old Road To 9 Acre Cor Community Agencies Bldg., Concord MA 01742-4141. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fleiss, Carolyn Boyd can be contacted via phone (978) 369-1113.Contact Information
Primary practice address
111 Old Road To 9 Acre Cor Community Agencies Bldg.
Concord MA 01742-4141
Phone: (978) 369-1113
Fax: (978) 369-0908
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 100220 | Massachusetts |
Profile Details
| NPI number | 1881734200 |
|---|---|
| LBN Legal business name | Fleiss, Carolyn Boyd |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881734200 | NPPES |
| Massachusetts | Other | 321840 | TRICARE |
| Massachusetts | Other | P10320 | TRICARE |
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