Provider Demographics
NPI:1265970495
Name:CARTER, DEANNA LAUREN
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:LAUREN
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DEANNA
Other - Middle Name:LAUREN
Other - Last Name:DIORIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 MUSE TER
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-2921
Mailing Address - Country:US
Mailing Address - Phone:978-427-7649
Mailing Address - Fax:
Practice Address - Street 1:9 MUSE TER
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-2921
Practice Address - Country:US
Practice Address - Phone:978-427-7649
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist