Individual
DR. JAMES TYLER CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
NEUROBEHAVIORAL ASSOCIATES, 169 LIBBEY PARKWAY, 2ND FLOOR, WEYMOUTH, MA 02189
(781) 682-1060
Mailing address
PO BOX 366063, HYDE PARK, MA 02136-0019
(617) 698-8350
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4303
MA
103TC0700X
Clinical Psychologist
Primary
4303
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0518018
—
MA
Enumeration date
11/23/2007
Last updated
11/23/2007
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