Provider Demographics
NPI:1306912589
Name:BRASH - MCGREER, KAREN (RN, MFT, MED,)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BRASH - MCGREER
Suffix:
Gender:F
Credentials:RN, MFT, MED,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 NEW FREEDOM RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3936
Mailing Address - Country:US
Mailing Address - Phone:856-654-4200
Mailing Address - Fax:856-654-4200
Practice Address - Street 1:31 NEW FREEDOM RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-3936
Practice Address - Country:US
Practice Address - Phone:856-654-4200
Practice Address - Fax:856-654-4200
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1546106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist