MEDICARE: CAROL M SINGER ED D

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	6127	MA

General Provider Information

NPI Number	:	1336112796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL M SINGER ED D

Provider Business Mailing Address
First Line	:	38 LAKEWOOD ROAD
Second Line	:
City	:	NEWTON HIGHLANDS
State	:	MA
Zip	:	02461
Country	:	US
Telephone Number	:	617-244-7835
Fax Number	:	617-965-8983

Provider Business Practice Location Address
First Line	:	38 LAKEWOOD ROAD
Second Line	:
City	:	NEWTON HIGHLANDS
State	:	MA
Zip	:	02461
Country	:	US
Telephone Number	:	617-244-7835
Fax Number	:	617-965-8983

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2006
Last Update Date	:	07/08/2007

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