Doctor Name: | MRS. CAROLANNE MARIE OLLER |
NPI Number: | 1003083007 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | A.B.T. |
License Number: | 2149 |
Business Practice Address: | 3 Randolph St Canton, MA - 020212351 |
Business Phone Number: | 7818308424 |
Business Fax Number: | |
Mailing Address: | 181 Saint Mary St, NEEDHAM |
State: | MA |
Postal Code: | 024943128 |
Phone Number: | 7816402631 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2008 |
NPI Last Update Date: | 05/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 2149 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |