Provider Demographics
NPI:1144344375
Name:KARMAN, CAROL DEARDRE (MED,LMHC)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:DEARDRE
Last Name:KARMAN
Suffix:
Gender:F
Credentials:MED,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:268 WALNUT ST
Mailing Address - Street 2:#2
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-6734
Mailing Address - Country:US
Mailing Address - Phone:617-522-5601
Mailing Address - Fax:
Practice Address - Street 1:11 DANFORTH ST
Practice Address - Street 2:#2
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-1807
Practice Address - Country:US
Practice Address - Phone:617-522-5601
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health