Individual
DR. SALLY B CARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
84 RIDGEWOOD AVE, HOLYOKE, MA 01040-1852
(413) 478-9838
Mailing address
84 RIDGEWOOD AVE, HOLYOKE, MA 01040-1852
(413) 478-9838
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6723-PY-PR
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6723-PY-PR
DIV. OF PROF.LICENSURE
MA
Enumeration date
05/12/2018
Last updated
05/12/2018
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