Provider Demographics
NPI:1851642995
Name:LEGEYT, CARRIE (MS, CCLS)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:LEGEYT
Suffix:
Gender:F
Credentials:MS, CCLS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 AMES WAY
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02632-2821
Mailing Address - Country:US
Mailing Address - Phone:177-448-7138
Mailing Address - Fax:
Practice Address - Street 1:225 AMES WAY
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02632-2821
Practice Address - Country:US
Practice Address - Phone:177-448-7138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst