Provider Demographics
NPI:1265211254
Name:CARCHRIE, MARGARET WOOD (MA, MT-BC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:WOOD
Last Name:CARCHRIE
Suffix:
Gender:F
Credentials:MA, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROAD BROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06016-9540
Mailing Address - Country:US
Mailing Address - Phone:860-748-7549
Mailing Address - Fax:
Practice Address - Street 1:28 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:BROAD BROOK
Practice Address - State:CT
Practice Address - Zip Code:06016-9540
Practice Address - Country:US
Practice Address - Phone:860-748-7549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT05336225A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist