Provider Demographics
NPI:1376905281
Name:KARGER, MELANIE (PSYD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:
Last Name:KARGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:332 SPRINGFIELD AVE
Mailing Address - Street 2:STE 204
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-3658
Mailing Address - Country:US
Mailing Address - Phone:973-607-7068
Mailing Address - Fax:
Practice Address - Street 1:332 SPRINGFIELD AVE
Practice Address - Street 2:STE 204
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-3658
Practice Address - Country:US
Practice Address - Phone:973-607-7068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-22
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00559900103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist