| Doctor Name: | HEIDI C KIEBLER-BROGAN |
| NPI Number: | 1407923865 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 37PC00083500 |
| Business Practice Address: | 34 Dumont Rd Far Hills, NJ - 07931 |
| Business Phone Number: | 9084561871 |
| Business Fax Number: | |
| Mailing Address: | 8 Logan Dr, CALIFON |
| State: | NJ |
| Postal Code: | 078303438 |
| Phone Number: | 9084561871 |
| Fax Number: | |
| NPI Enumeration Date: | 11/29/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 37PC00083500 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |