Provider Demographics
NPI:1396894861
Name:CARTER, LAINE BETH (BSE CEIS)
Entity type:Individual
Prefix:MRS
First Name:LAINE
Middle Name:BETH
Last Name:CARTER
Suffix:
Gender:F
Credentials:BSE CEIS
Other - Prefix:
Other - First Name:LAINE
Other - Middle Name:BETH
Other - Last Name:KRAITERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:136 FIDDLERS WAY
Mailing Address - Street 2:
Mailing Address - City:E TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02718
Mailing Address - Country:US
Mailing Address - Phone:508-880-2868
Mailing Address - Fax:
Practice Address - Street 1:1563 N MAIN ST
Practice Address - Street 2:SUITE 208
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-324-1060
Practice Address - Fax:508-679-8590
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA13022080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics