WILLOW BOUGH CARPENTER NPI 1356520050

NPI Information

NPI: 1356520050
Provider Name: WILLOW BOUGH CARPENTER
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
14 FORDHAM RD
ALLSTON, MA
ZIP 02134
Phone: (617) 782-6460
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Willow Bough Carpenter is a mental health counselor in Allston, MA. Willow Bough Carpenter NPI is 1356520050. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14 FORDHAM RD
ALLSTON, MA
ZIP 02134-006
Phone: (617) 782-6460

The enumeration date for this NPI number is 10/30/2007 and was last updated on 10/30/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1001550	OTHER		NHP
2	8411	OTHER	MASSACHUSETTS	BMC
3	1319744	MEDICAID	MASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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