Doctor Name: | BRETT G CARRA |
NPI Number: | 1083919922 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 313629 |
Business Practice Address: | 53 Bilton Rd Somers, CT - 060711043 |
Business Phone Number: | 4132044278 |
Business Fax Number: | |
Mailing Address: | 53 Bilton Rd, SOMERS |
State: | CT |
Postal Code: | 060711043 |
Phone Number: | 4132044278 |
Fax Number: | |
NPI Enumeration Date: | 01/25/2011 |
NPI Last Update Date: | 01/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 313629 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |