Provider Demographics
NPI:1265644553
Name:CARPENTER, WILLIAM T (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:T
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11018 THISTLE BROOK CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-1048
Mailing Address - Country:US
Mailing Address - Phone:410-730-2187
Mailing Address - Fax:
Practice Address - Street 1:55 WADE AVE
Practice Address - Street 2:MARYLAND PSYCHIATRIC RESEARCH CENTER
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-4663
Practice Address - Country:US
Practice Address - Phone:410-402-7101
Practice Address - Fax:410-788-3837
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-07
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00011282084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry