Provider Demographics
NPI:1689977449
Name:ALLEN, CAROLYN (MA, LPC)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:864 TERNAY AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTCH PLAINS
Mailing Address - State:NJ
Mailing Address - Zip Code:07076-2150
Mailing Address - Country:US
Mailing Address - Phone:908-928-0151
Mailing Address - Fax:908-928-0151
Practice Address - Street 1:2544 PLAINFIELD AVE
Practice Address - Street 2:SUITE A
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-2058
Practice Address - Country:US
Practice Address - Phone:908-232-3363
Practice Address - Fax:908-232-3369
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-15
Last Update Date:2012-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00459400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional