Provider Demographics
NPI:1538266788
Name:CARR, WILLIAM THOMAS (PHD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:THOMAS
Last Name:CARR
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Gender:M
Credentials:PHD
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Mailing Address - Street 1:38 WARWICK ST
Mailing Address - Street 2:APARTMENT #1
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02170-2215
Mailing Address - Country:US
Mailing Address - Phone:617-773-0717
Mailing Address - Fax:857-364-6599
Practice Address - Street 1:150 S HUNTINGTON AVE
Practice Address - Street 2:116B
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02130-4817
Practice Address - Country:US
Practice Address - Phone:857-364-5046
Practice Address - Fax:857-364-6599
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA4481103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist