Provider Demographics
NPI:1770124455
Name:OTOOLE, CAREY (LPC)
Entity type:Individual
Prefix:
First Name:CAREY
Middle Name:
Last Name:OTOOLE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 BYERS RD STE 6
Mailing Address - Street 2:
Mailing Address - City:CHESTER SPRINGS
Mailing Address - State:PA
Mailing Address - Zip Code:19425-9565
Mailing Address - Country:US
Mailing Address - Phone:814-380-4962
Mailing Address - Fax:
Practice Address - Street 1:223 BYERS RD STE 6
Practice Address - Street 2:
Practice Address - City:CHESTER SPRINGS
Practice Address - State:PA
Practice Address - Zip Code:19425-9565
Practice Address - Country:US
Practice Address - Phone:814-380-4962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-03
Last Update Date:2019-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011739101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional