| Doctor Name: | CARL WOLFARTH |
| NPI Number: | 1538252564 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MA |
| License Number: | 37PC00215700 |
| Business Practice Address: | 4009 Black Horse Pike Mays Landing, NJ - 083303133 |
| Business Phone Number: | 2155907555 |
| Business Fax Number: | 2155907387 |
| Mailing Address: | 3440 Market St, Suite 410 PHILADELPHIA |
| State: | PA |
| Postal Code: | 191043325 |
| Phone Number: | 2155907532 |
| Fax Number: | 2155904251 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00215700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |