Provider Demographics
NPI:1588412613
Name:GALASSO, CAROLINE LAURIE (PMHNP)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:LAURIE
Last Name:GALASSO
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:LAURIE
Other - Last Name:PIEROTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:481 TENNENT RD
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1624
Mailing Address - Country:US
Mailing Address - Phone:732-299-9626
Mailing Address - Fax:
Practice Address - Street 1:20 HOSPITAL DR STE 4
Practice Address - Street 2:
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-6434
Practice Address - Country:US
Practice Address - Phone:732-831-6094
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15069900363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health