Provider Demographics
NPI:1891930830
Name:GREENWALD, CAROL ESTHER (MS, NCC)
Entity Type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ESTHER
Last Name:GREENWALD
Suffix:
Gender:F
Credentials:MS, NCC
Other - Prefix:
Other - First Name:CAROL
Other - Middle Name:ESTHER
Other - Last Name:SAIDMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, NCC
Mailing Address - Street 1:382 PIERCE ST
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18704-5535
Mailing Address - Country:US
Mailing Address - Phone:570-288-7231
Mailing Address - Fax:
Practice Address - Street 1:382 PIERCE ST
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:PA
Practice Address - Zip Code:18704-5535
Practice Address - Country:US
Practice Address - Phone:570-288-7231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC000239101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health