Individual
DR. CAROLYN M MAGNERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
859 EDGE PARK DR, HADDONFIELD, NJ 08033-1021
(917) 842-4223
(856) 795-1680
Mailing address
859 EDGE PARK DR, HADDONFIELD, NJ 08033-1021
(856) 795-1680
(856) 795-1680
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
012798
NY
103TC0700X
Clinical Psychologist
Primary
35S100495100
NJ
103TC0700X
Clinical Psychologist
PS017027
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01733242
—
NY
01
—
454055
VALUE OPTIONS
—
01
—
P1035277
OXFORD HEALTH PLAN
—
Enumeration date
01/04/2007
Last updated
11/20/2014
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