Doctor Name: | MRS. DEANNA P. GITLOW |
NPI Number: | 1336287978 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICENSED COUNSELOR |
License Number: | 37PC00331900 |
Business Practice Address: | 33 Wood Ave S 6th Floor Iselin, NJ - 088302735 |
Business Phone Number: | 7325360076 |
Business Fax Number: | 7329728846 |
Mailing Address: | 33 Wood Ave S, 6th Floor ISELIN |
State: | NJ |
Postal Code: | 088302735 |
Phone Number: | 7325360076 |
Fax Number: | 7329728846 |
NPI Enumeration Date: | 02/04/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00331900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |