Provider Demographics
NPI:1881913341
Name:CARR, MARGARET A (PH,D)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:A
Last Name:CARR
Suffix:
Gender:F
Credentials:PH,D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 PARKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-4815
Mailing Address - Country:US
Mailing Address - Phone:609-924-8839
Mailing Address - Fax:
Practice Address - Street 1:140 PARKSIDE DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-4815
Practice Address - Country:US
Practice Address - Phone:609-924-8839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00251700103TC0700X
IL072-003204103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical