| Doctor Name: | DR. CAROL CHRISTOFILIS |
| NPI Number: | 1053666073 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 4107 |
| Business Practice Address: | 31 Petticoat Lane Annandale, NJ - 08801 |
| Business Phone Number: | 9736504567 |
| Business Fax Number: | |
| Mailing Address: | Po Box 202, ANNANDALE |
| State: | NJ |
| Postal Code: | 088010202 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/16/2012 |
| NPI Last Update Date: | 11/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 4107 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |