Individual
DR. JOHN LAWRENCE CAREW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
15 SAGAMORE TRL, LITTLETON, MA 01460-1306
(978) 486-8105
(978) 486-1044
Mailing address
15 SAGAMORE TRL, LITTLETON, MA 01460-1306
(978) 486-8105
(978) 486-1044
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
3609
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35667
NATLREGHP INPSYCHOLOGY
MA
01
—
3609
MA PSYCHOL HP LICENSE
MA
01
—
S002468
OLD CHAMPUS #
MA
01
—
WO3633
BCBS MA PROVIDER #
MA
Enumeration date
01/20/2007
Last updated
07/08/2007
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