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NPI Code Detail

MEDICARE: VERONICA MAE CARNEY

MEDICARE:   VERONICA MAE CARNEY
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
1101YM0800XMental Health Counselor6057MA

General Provider Information

NPI Number : 1639722051
Entity Type Code : Individual
Provider Name (Legal Business Name) : VERONICA MAE CARNEY
Provider Business Mailing Address
First Line : 425R WATERTOWN ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-1113
Country : US
Telephone Number : 617-969-2200
Fax Number :
Provider Business Practice Location Address
First Line : 425R WATERTOWN ST
Second Line :
City : NEWTON
State : MA
Zip : 02458-1113
Country : US
Telephone Number : 617-969-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2019
Last Update Date : 07/24/2019

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Directions to “ VERONICA MAE CARNEY ” Practice Location

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