Doctor Name: | THERESA MARY JAEGER |
NPI Number: | 1528132586 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 37PC00027300 |
Business Practice Address: | 44 Sycamore Ave Suite 3d Little Silver, NJ - 077391242 |
Business Phone Number: | 7324253161 |
Business Fax Number: | |
Mailing Address: | 44 Sycamore Ave, Suite 3d LITTLE SILVER |
State: | NJ |
Postal Code: | 077391242 |
Phone Number: | 7324253161 |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/18/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00027300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |