Most Relevant Information
Provider Data
NPI Number: | 1003376377 |
Provider Name: | CARLETON I RYDER LPC |
Entity Type: | Individual |
Taxonomy Code: | 101YP2500X |
Specialty: | Counselor |
License Number: | PC1835 |
Most Important Dates
Enumeration Date: | 03/22/2019 |
Last Updated: | 03/22/2019 |
Provider Practice Location
76 LONE STAR LANE
MANALAPAN
NJ
07726
Practice Location Phone/Fax
Phone: | 7325333651 |
Fax: | 7327926527 |
Provider Mailing Location
76 LONE STAR LANE
MANALAPAN
NJ
07726
Provider Mailing Phone/Fax
Phone: | 7325333651 |
Fax: | 7327926527 |