| Doctor Name: | MARK DENNIS CARON |
| NPI Number: | 1629156179 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 7499 |
| Business Practice Address: | 35 Turkey Hill Rd Suite 105b Belchertown, MA - 010079031 |
| Business Phone Number: | 5088674491 |
| Business Fax Number: | 5088674451 |
| Mailing Address: | 35 Turkey Hill Rd, Suite 105b BELCHERTOWN |
| State: | MA |
| Postal Code: | 010079031 |
| Phone Number: | 5088674491 |
| Fax Number: | 5088674451 |
| NPI Enumeration Date: | 11/01/2006 |
| NPI Last Update Date: | 09/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 7499 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |