Provider Demographics
NPI:1518377597
Name:CARLETON, MEREDITH (PSYD, ATR-BC)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:
Last Name:CARLETON
Suffix:
Gender:F
Credentials:PSYD, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 MILLBURN AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1945
Mailing Address - Country:US
Mailing Address - Phone:973-378-5525
Mailing Address - Fax:973-378-5590
Practice Address - Street 1:90 MILLBURN AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:MILLBURN
Practice Address - State:NJ
Practice Address - Zip Code:07041-1945
Practice Address - Country:US
Practice Address - Phone:973-378-5525
Practice Address - Fax:973-378-5590
Is Sole Proprietor?:No
Enumeration Date:2014-04-30
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJLTD PERMIT 143-030103TC0700X, 103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical