| Doctor Name: | HEATHER LYNNE GREULICH |
| NPI Number: | 1043505605 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, LCADC |
| License Number: | 37LC00141100 |
| Business Practice Address: | 14 Park Ave Caldwell, NJ - 070064902 |
| Business Phone Number: | 9732283000 |
| Business Fax Number: | |
| Mailing Address: | 14 Fawn Lake Rd, STOCKHOLM |
| State: | NJ |
| Postal Code: | 074601425 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2011 |
| NPI Last Update Date: | 06/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00141100 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |