Provider Demographics
NPI:1548911019
Name:CARTER, LAURA ELIZABETH
Entity type:Individual
Prefix:MS
First Name:LAURA
Middle Name:ELIZABETH
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ELISE
Other - Middle Name:
Other - Last Name:CARTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, MT-BC
Mailing Address - Street 1:21 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:HEWITT
Mailing Address - State:NJ
Mailing Address - Zip Code:07421-3221
Mailing Address - Country:US
Mailing Address - Phone:973-851-5435
Mailing Address - Fax:
Practice Address - Street 1:21 PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:HEWITT
Practice Address - State:NJ
Practice Address - Zip Code:07421-3221
Practice Address - Country:US
Practice Address - Phone:973-851-5435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-15
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist