Doctor Name: | ERIC KISPERT |
NPI Number: | 1114045317 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | 44SC04648700 |
Business Practice Address: | 40 1st Ave Ste 1 Denville, NJ - 078342710 |
Business Phone Number: | 9736253025 |
Business Fax Number: | 9736253027 |
Mailing Address: | 40 Myers Ave, DENVILLE |
State: | NJ |
Postal Code: | 078342161 |
Phone Number: | 9736253025 |
Fax Number: | 9736253027 |
NPI Enumeration Date: | 03/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC04648700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |