Provider Demographics
NPI:1518560937
Name:SEGAL, CAROLINE MAYER (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:MAYER
Last Name:SEGAL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 BOSTON POST RD FL 2
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:CT
Mailing Address - Zip Code:06820-3600
Mailing Address - Country:US
Mailing Address - Phone:203-202-7654
Mailing Address - Fax:
Practice Address - Street 1:330 BOSTON POST RD FL 2
Practice Address - Street 2:
Practice Address - City:DARIEN
Practice Address - State:CT
Practice Address - Zip Code:06820-3600
Practice Address - Country:US
Practice Address - Phone:203-202-7654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-18
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist