Doctor Name: | MS. STELLA A. CARPENTER |
NPI Number: | 1528111648 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC00484200 |
Business Practice Address: | 1101 Richmond Ave Suite 202a Point Pleasant Beach, NJ - 087423010 |
Business Phone Number: | 7322950010 |
Business Fax Number: | 7322959102 |
Mailing Address: | 1101 Richmond Ave, Suite 202a POINT PLEASANT BEACH |
State: | NJ |
Postal Code: | 087423010 |
Phone Number: | 7322950010 |
Fax Number: | 7322959102 |
NPI Enumeration Date: | 01/19/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 44SC00484200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |