Provider Demographics
NPI:1316129539
Name:CARNALL, AMY BETH (APN,C, DNP)
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:BETH
Last Name:CARNALL
Suffix:
Gender:F
Credentials:APN,C, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 KINGS HWY E
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-2001
Mailing Address - Country:US
Mailing Address - Phone:856-418-0122
Mailing Address - Fax:
Practice Address - Street 1:31 KINGS HWY E
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2001
Practice Address - Country:US
Practice Address - Phone:856-418-0122
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNN1158972084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Single Specialty