Provider Demographics
NPI:1386504579
Name:MACDONALD, MARY-CARLA D (MT-BC)
Entity type:Individual
Prefix:
First Name:MARY-CARLA
Middle Name:D
Last Name:MACDONALD
Suffix:
Gender:F
Credentials:MT-BC
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18 STRAWBERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01863-2217
Mailing Address - Country:US
Mailing Address - Phone:978-302-6349
Mailing Address - Fax:
Practice Address - Street 1:55 LAKE AVE N
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01655-0002
Practice Address - Country:US
Practice Address - Phone:978-302-6349
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist