Provider Demographics
NPI:1942613724
Name:CARY, CORT
Entity Type:Individual
Prefix:MR
First Name:CORT
Middle Name:
Last Name:CARY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 OWLS HILL RD
Mailing Address - Street 2:
Mailing Address - City:WESTMORELAND
Mailing Address - State:NH
Mailing Address - Zip Code:03467-4601
Mailing Address - Country:US
Mailing Address - Phone:603-399-4400
Mailing Address - Fax:
Practice Address - Street 1:57 OWLS HILL RD
Practice Address - Street 2:
Practice Address - City:WESTMORELAND
Practice Address - State:NH
Practice Address - Zip Code:03467-4601
Practice Address - Country:US
Practice Address - Phone:603-399-4400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-09
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health