Provider Demographics
NPI:1346229739
Name:TURNER, CAROL J (EDD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:J
Last Name:TURNER
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 MAGNOLIA ST
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-2822
Mailing Address - Country:US
Mailing Address - Phone:732-339-1171
Mailing Address - Fax:848-202-9871
Practice Address - Street 1:520 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:08904-2822
Practice Address - Country:US
Practice Address - Phone:732-339-1171
Practice Address - Fax:848-202-9871
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00122300103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ125243500OtherDEPARTMENT OF LABOR
NJ6830005Medicaid
NJ621621Medicare ID - Type Unspecified