Doctor Name: | MS. AMY A. CARSTO |
NPI Number: | 1043443310 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00396700 |
Business Practice Address: | 99 Beauvoir Ave Summit, NJ - 079013533 |
Business Phone Number: | 9085223586 |
Business Fax Number: | 9085225760 |
Mailing Address: | 99 Beauvoir Ave, SUMMIT |
State: | NJ |
Postal Code: | 079013533 |
Phone Number: | 9085223586 |
Fax Number: | 9085225760 |
NPI Enumeration Date: | 09/02/2009 |
NPI Last Update Date: | 04/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00396700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |