Provider Demographics
NPI:1306588082
Name:CARTER, MARGURITA M (MDIV, PHD,)
Entity type:Individual
Prefix:DR
First Name:MARGURITA
Middle Name:M
Last Name:CARTER
Suffix:
Gender:F
Credentials:MDIV, PHD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1187 POCONO BLVD
Mailing Address - Street 2:
Mailing Address - City:MOUNT POCONO
Mailing Address - State:PA
Mailing Address - Zip Code:18344-1046
Mailing Address - Country:US
Mailing Address - Phone:347-486-0582
Mailing Address - Fax:
Practice Address - Street 1:1187 POCONO BLVD
Practice Address - Street 2:
Practice Address - City:MOUNT POCONO
Practice Address - State:PA
Practice Address - Zip Code:18344-1046
Practice Address - Country:US
Practice Address - Phone:347-486-0582
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-12
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral