Provider Demographics
NPI:1467761122
Name:CARCARE, RACHEL (MA, C,A,S)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:CARCARE
Suffix:
Gender:F
Credentials:MA, C,A,S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 POMONA RD
Mailing Address - Street 2:
Mailing Address - City:TRUMBULL
Mailing Address - State:CT
Mailing Address - Zip Code:06611-1239
Mailing Address - Country:US
Mailing Address - Phone:203-880-9807
Mailing Address - Fax:
Practice Address - Street 1:5893 MAIN ST
Practice Address - Street 2:
Practice Address - City:TRUMBULL
Practice Address - State:CT
Practice Address - Zip Code:06611-2448
Practice Address - Country:US
Practice Address - Phone:203-268-8852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool