Active NPIIndividual providerSole proprietor

Carolyn D Bristow

Counselor, Mental Health in Salem, Massachusetts

NPI Number1134848724
Practice location
110 Boston St, Salem, MA 01970-1402
Fax
—
Last updated
August 25, 2022

Carolyn Dilara Bristow is a Counselor, Mental Health based in Salem, MA. Carolyn Dilara Bristow practices in Salem, MA. The NPI Number for Carolyn Dilara Bristow is 1134848724. The current practice location address for Carolyn Dilara Bristow is 110 Boston St, Salem, MA 01970-1402 and can be reached out via phone at 978-744-7905.

Provider Profile Details

NPI Number
1134848724
Provider Name
Carolyn Dilara Bristow
Provider Entity Type
Individual
Gender
Female
Address
110 Boston St, Salem, MA 01970-1402
Phone Number
978-744-7905
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 25, 2022
Last Update Date
August 25, 2022
Certification Date
August 25, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
110 Boston St
Salem, MA 01970-1402
City
Salem
Zip
01970-1402
Phone Number
978-744-7905
Salem, MA 01970Get directions →

Provider Business Mailing Address Details

Address
130 Essex St # 25A
South Hamilton, MA 01982-2325
City
South Hamilton
State
MA
Zip
01982-2325
Phone Number
843-814-2056

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Carolyn D Bristow?

The NPI number of Carolyn D Bristow is 1134848724. It was assigned on August 25, 2022 and is currently active in the NPPES registry.

What is the specialty of Carolyn D Bristow?

Carolyn D Bristow is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Carolyn D Bristow practice?

The practice location is 110 Boston St, Salem, MA 01970-1402. The office can be reached at 978-744-7905 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134848724 directly on the NPPES registry website.

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