Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 35SI00243500 | NJ |
NPI | 1093850778 |
---|---|
Provider Name | Dr. Carole Ann Eigen |
First Address | Bridgewater, NJ 08807-2115 |
Second Address | Bridgewater, NJ 08807-2115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2007 |
Last Update Date | 08/07/2007 |