Doctor Name: | MS. MERYL PFEIFFER |
NPI Number: | 1063712420 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00307600 |
Business Practice Address: | 360 Springfield Ave Suite 301 Summit, NJ - 079014608 |
Business Phone Number: | 9735645997 |
Business Fax Number: | |
Mailing Address: | 360 Springfield Ave, Suite 301 SUMMIT |
State: | NJ |
Postal Code: | 079014608 |
Phone Number: | 9735645997 |
Fax Number: | |
NPI Enumeration Date: | 11/01/2010 |
NPI Last Update Date: | 11/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00307600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |