Doctor Name: | LORRAINE J. CARR |
NPI Number: | 1487679148 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 35S100354300 |
Business Practice Address: | 31 Waldwick Ave Waldwick, NJ - 074631943 |
Business Phone Number: | 2014459643 |
Business Fax Number: | |
Mailing Address: | 31 Waldwick Ave, WALDWICK |
State: | NJ |
Postal Code: | 074631943 |
Phone Number: | 2014459643 |
Fax Number: | |
NPI Enumeration Date: | 07/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC2200X |
License Number: | 35S100354300 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical Child & Adolescent |
Taxonomy Definition: |