Healthcare Provider Details

I. General information

NPI: 1306912589
Provider Name (Legal Business Name): KAREN BRASH - MCGREER R.N., MFT, MED,
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

31 NEW FREEDOM RD
MEDFORD NJ
08055-3936
US

IV. Provider business mailing address

31 NEW FREEDOM RD
MEDFORD NJ
08055-3936
US

V. Phone/Fax

Practice location:
  • Phone: 856-654-4200
  • Fax: 856-654-4200
Mailing address:
  • Phone: 856-654-4200
  • Fax: 856-654-4200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number1546
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: