Provider Demographics
NPI:1912240409
Name:TOMASETTI, CARA
Entity Type:Individual
Prefix:MS
First Name:CARA
Middle Name:
Last Name:TOMASETTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 HAIGHT RD
Mailing Address - Street 2:
Mailing Address - City:AMENIA
Mailing Address - State:NY
Mailing Address - Zip Code:12501-5234
Mailing Address - Country:US
Mailing Address - Phone:845-373-4106
Mailing Address - Fax:
Practice Address - Street 1:194 HAIGHT RD
Practice Address - Street 2:
Practice Address - City:AMENIA
Practice Address - State:NY
Practice Address - Zip Code:12501-5234
Practice Address - Country:US
Practice Address - Phone:845-373-4106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool