Provider Demographics
NPI:1750481511
Name:KARAKASHIAN, MELINE (PHD)
Entity Type:Individual
Prefix:DR
First Name:MELINE
Middle Name:
Last Name:KARAKASHIAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:470 STATE ROUTE 79
Mailing Address - Street 2:P. O. BOX 6
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-4700
Mailing Address - Country:US
Mailing Address - Phone:732-591-5937
Mailing Address - Fax:
Practice Address - Street 1:470 STATE ROUTE 79
Practice Address - Street 2:
Practice Address - City:MORGANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07751-4700
Practice Address - Country:US
Practice Address - Phone:732-591-5937
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2009-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00347500103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist