Individual
CAROLYNNE J STMARTIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
258 MAIN ST, SUITE 104, MILFORD, MA 01757-2525
(508) 634-7799
(508) 634-7799
Mailing address
23 RESERVOIR RD, MILFORD, MA 01757-1366
(508) 634-7799
(508) 634-0050
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7781
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0501972
—
MA
01
—
1893009
MBMP
MA
01
—
W06137
BCBS
MA
Enumeration date
10/20/2005
Last updated
07/08/2007
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