Provider Demographics
NPI:1871029579
Name:DESHLER, CAROLYNN (HBCE)
Entity type:Individual
Prefix:
First Name:CAROLYNN
Middle Name:
Last Name:DESHLER
Suffix:
Gender:F
Credentials:HBCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 UPHAM ST
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01851-4830
Mailing Address - Country:US
Mailing Address - Phone:978-604-1050
Mailing Address - Fax:
Practice Address - Street 1:180 UPHAM ST
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01851-4830
Practice Address - Country:US
Practice Address - Phone:978-604-1050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-02
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No174H00000XOther Service ProvidersHealth Educator