Doctor Name: | MR. PAUL JAY SPERGEL |
NPI Number: | 1821166190 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC,LMHC |
License Number: | PC02258 |
Business Practice Address: | 1 Old Wolfe Rd Suite 203 Budd Lake, NJ - 078283213 |
Business Phone Number: | 9735277072 |
Business Fax Number: | 9735277073 |
Mailing Address: | 1 Old Wolfe Rd, Suite 203 BUDD LAKE |
State: | NJ |
Postal Code: | 078283213 |
Phone Number: | 9735277072 |
Fax Number: | 9735277073 |
NPI Enumeration Date: | 12/02/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC02258 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |