Provider Demographics
NPI:1699821850
Name:CARR, E. REBECCA (MA LMFT RPT-S)
Entity Type:Individual
Prefix:MRS
First Name:E.
Middle Name:REBECCA
Last Name:CARR
Suffix:
Gender:F
Credentials:MA LMFT RPT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3091 E 98TH ST
Mailing Address - Street 2:SUITE 125
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46280-2939
Mailing Address - Country:US
Mailing Address - Phone:317-726-9537
Mailing Address - Fax:317-826-1454
Practice Address - Street 1:3091 E 98TH ST
Practice Address - Street 2:SUITE 125
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46280-2939
Practice Address - Country:US
Practice Address - Phone:317-726-9537
Practice Address - Fax:317-826-1454
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN35001513A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist