Provider Demographics
NPI:1255733952
Name:MORIARTY, CAROLINE (PSYD)
Entity type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:
Last Name:MORIARTY
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5012
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-0511
Mailing Address - Country:US
Mailing Address - Phone:617-595-8498
Mailing Address - Fax:
Practice Address - Street 1:5 ESSEX GREEN DR STE 22
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2914
Practice Address - Country:US
Practice Address - Phone:617-595-8498
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-24
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020861103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist