Provider Demographics
NPI:1568652808
Name:MONACI, CAROL (PHD)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:
Last Name:MONACI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:MS
Other - First Name:CAROL
Other - Middle Name:
Other - Last Name:FAHAD-LENZO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 GIBSON PL STE 206
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-4837
Mailing Address - Country:US
Mailing Address - Phone:732-483-4425
Mailing Address - Fax:732-483-4427
Practice Address - Street 1:20 GIBSON PL STE 206
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-4837
Practice Address - Country:US
Practice Address - Phone:732-483-4425
Practice Address - Fax:732-483-4427
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00021400103TC0700X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical