Provider Demographics
NPI:1093850778
Name:EIGEN, CAROLE ANN (PHD)
Entity Type:Individual
Prefix:DR
First Name:CAROLE
Middle Name:ANN
Last Name:EIGEN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:CAROLE
Other - Middle Name:ANN
Other - Last Name:BOXER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:110 BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:08807-2115
Mailing Address - Country:US
Mailing Address - Phone:908-725-2175
Mailing Address - Fax:908-253-0106
Practice Address - Street 1:110 BRANCH RD
Practice Address - Street 2:
Practice Address - City:BRIDGEWATER
Practice Address - State:NJ
Practice Address - Zip Code:08807-2115
Practice Address - Country:US
Practice Address - Phone:908-725-2175
Practice Address - Fax:908-253-0106
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00243500103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling