Doctor Name: | LISA KREUTZBERG |
NPI Number: | 1538564661 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 37PC00499200 |
Business Practice Address: | 84 Avenue Of Two Rivers Rumson, NJ - 077601704 |
Business Phone Number: | 7327426667 |
Business Fax Number: | |
Mailing Address: | 84 Avenue Of Two Rivers, RUMSON |
State: | NJ |
Postal Code: | 077601704 |
Phone Number: | 7327426667 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2014 |
NPI Last Update Date: | 10/31/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 37PC00499200 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |