Provider Demographics
NPI:1033454087
Name:SANCHEZ, CAROLYN
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 MAIN ST STE 308
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-5520
Mailing Address - Country:US
Mailing Address - Phone:508-485-5300
Mailing Address - Fax:508-485-5353
Practice Address - Street 1:277 MAIN ST STE 308
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-5520
Practice Address - Country:US
Practice Address - Phone:508-485-5300
Practice Address - Fax:508-485-5353
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-03
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor