Most Relevant Information
Provider Data
| NPI Number: | 1003204561 |
| Provider Name: | TYPHANI CARTER LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 079361 |
Most Important Dates
| Enumeration Date: | 01/06/2015 |
| Last Updated: | 01/06/2015 |
Provider Practice Location
10420 QUEENS BLVD
17W
FOREST HILLS
NY
113757324
Practice Location Phone/Fax
| Phone: | 3472498961 |
| Fax: |
Provider Mailing Location
10420 QUEENS BLVD
17W
FOREST HILLS
NY
113753629
Provider Mailing Phone/Fax
| Phone: | 3472498961 |
| Fax: |