1659505006 NPI number — MRS. KATHERINE CARTWRIGHT MA, LPC, LCADC, NCC

Table of content: MRS. KATHERINE CARTWRIGHT MA, LPC, LCADC, NCC (NPI 1659505006)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1659505006 NPI number — MRS. KATHERINE CARTWRIGHT MA, LPC, LCADC, NCC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CARTWRIGHT
Provider First Name:
KATHERINE
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MA, LPC, LCADC, NCC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LURAKIS
Provider Other First Name:
KATHERINE
Provider Other Middle Name:
Provider Other Name Prefix Text:
MISS
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1659505006
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/02/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1401 CHEWS LANDING RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LAUREL SPRINGS
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08021-2771
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-545-1465
Provider Business Mailing Address Fax Number:
856-605-7500

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1401 CHEWS LANDING RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAUREL SPRINGS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08021-2771
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-545-1465
Provider Business Practice Location Address Fax Number:
856-605-7500
Provider Enumeration Date:
05/13/2009

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)