Provider Demographics
NPI:1326751835
Name:PARATORE, CARLY BRIANNA (BS)
Entity Type:Individual
Prefix:
First Name:CARLY
Middle Name:BRIANNA
Last Name:PARATORE
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 KENILWORTH DR STE 105
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-2141
Mailing Address - Country:US
Mailing Address - Phone:443-841-7785
Mailing Address - Fax:443-519-5601
Practice Address - Street 1:1122 KENILWORTH DR STE 105
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2141
Practice Address - Country:US
Practice Address - Phone:443-841-7785
Practice Address - Fax:443-519-5601
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor