Provider Demographics
NPI:1134946338
Name:CARROLL, NATALIE DOYLE (LPC)
Entity type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:DOYLE
Last Name:CARROLL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 GROVE ST APT 5
Mailing Address - Street 2:
Mailing Address - City:EAST RUTHERFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:07073-1743
Mailing Address - Country:US
Mailing Address - Phone:201-414-3682
Mailing Address - Fax:
Practice Address - Street 1:1613 BEAVER DAM RD STE 201
Practice Address - Street 2:
Practice Address - City:POINT PLEASANT BORO
Practice Address - State:NJ
Practice Address - Zip Code:08742-5171
Practice Address - Country:US
Practice Address - Phone:732-503-8627
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01067200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health