Individual
DR. CAROLYN HEIMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
29 PINE ST, SOUTHBRIDGE, MA 01550-1823
(508) 765-9167
(508) 764-2462
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040
(508) 909-7799
(508) 764-2432
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
222737
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2082250
—
MA
Enumeration date
06/04/2006
Last updated
04/10/2017
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