Doctor Name: | CONNIE CARMAN |
NPI Number: | 1013270404 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 37CA00086000 |
Business Practice Address: | 2250 Hickory Rd Plymouth Meeting, PA - 194621047 |
Business Phone Number: | 6108341122 |
Business Fax Number: | |
Mailing Address: | 2250 Hickory Rd, PLYMOUTH MEETING |
State: | PA |
Postal Code: | 194621047 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/20/2012 |
NPI Last Update Date: | 06/20/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 37CA00086000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |