Medeiros, Carissa Lynne

Medeiros, Carissa Lynne is an individual health care provider with primary practice located at 155 Billings Rd # 2 , Quincy MA 02171-2345. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Medeiros, Carissa Lynne can be contacted via phone (508) 789-4642.

Contact Information

Primary practice address
155 Billings Rd # 2 Quincy MA 02171-2345
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1811044365
LBN Legal business name Medeiros, Carissa Lynne
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 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.

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