| Doctor Name: | ELIZABETH LILLIAN JEGLIC |
| NPI Number: | 1144567918 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 35S100500300 |
| Business Practice Address: | 6 Silvers Ln S Cranbury, NJ - 085123323 |
| Business Phone Number: | 6096102546 |
| Business Fax Number: | |
| Mailing Address: | 6 Silvers Ln S, CRANBURY |
| State: | NJ |
| Postal Code: | 085123323 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 01/13/2013 |
| NPI Last Update Date: | 01/13/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35S100500300 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |