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Individual

CARRIE HENNESSY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
43 CENTER ST STE 201, NORTHAMPTON, MA 01060-3062
(413) 579-8290
Mailing address
43 CENTER ST STE 201, NORTHAMPTON, MA 01060-3062

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11061
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
130082
MA
Enumeration date
11/07/2013
Last updated
08/11/2021
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