Individual
DR. CONSTANCE JEAN CARPENTER-BIXLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
130 MAPLE ST, SUITE 326, SPRINGFIELD, MA 01103-2202
(413) 297-3097
(413) 854-6061
Mailing address
PO BOX 861, EAST LONGMEADOW, MA 01028-0861
(413) 297-3097
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
7168
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110083668A
—
MA
Enumeration date
03/15/2007
Last updated
11/03/2012
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