Provider Demographics
NPI:1063677391
Name:MARCHETTI, CAROL ANNE (PMHCNS-BC)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:ANNE
Last Name:MARCHETTI
Suffix:
Gender:F
Credentials:PMHCNS-BC
Other - Prefix:MISS
Other - First Name:CAROL
Other - Middle Name:ANNE
Other - Last Name:HARVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:116 JOHN ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:MA
Mailing Address - Zip Code:01867-2743
Mailing Address - Country:US
Mailing Address - Phone:781-526-4369
Mailing Address - Fax:781-944-0831
Practice Address - Street 1:116 JOHN ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:MA
Practice Address - Zip Code:01867-2743
Practice Address - Country:US
Practice Address - Phone:781-526-4369
Practice Address - Fax:781-944-0831
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-25
Last Update Date:2013-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA0378988364SP0807X
MARN203221364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
No364SP0807XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Child & Adolescent