Doctor Name: | MS. TONI ANN BARTELUCE |
NPI Number: | 1376730895 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00063400 |
Business Practice Address: | 226 E Lacey Rd Forked River, NJ - 087314316 |
Business Phone Number: | 6096938805 |
Business Fax Number: | 6099716958 |
Mailing Address: | 226 E Lacey Rd, FORKED RIVER |
State: | NJ |
Postal Code: | 087314316 |
Phone Number: | 6096938805 |
Fax Number: | 6099716958 |
NPI Enumeration Date: | 09/28/2007 |
NPI Last Update Date: | 09/28/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00063400 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |