Provider Demographics
NPI:1972077394
Name:CAREY, MARILYN Y (LMFT)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:Y
Last Name:CAREY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:Y
Other - Last Name:COBB
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11 ARNOLD DR
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06002-1607
Mailing Address - Country:US
Mailing Address - Phone:860-818-7768
Mailing Address - Fax:
Practice Address - Street 1:271 FINCH AVE
Practice Address - Street 2:
Practice Address - City:MERIDEN
Practice Address - State:CT
Practice Address - Zip Code:06451-2715
Practice Address - Country:US
Practice Address - Phone:203-237-8084
Practice Address - Fax:203-639-1333
Is Sole Proprietor?:No
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT002048106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist