Doctor Name: | MR. PETER T CALDERWOOD |
NPI Number: | 1821271453 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MA, EDS, LPC, NCC |
License Number: | 37PC00391900 |
Business Practice Address: | 9 N Beverwyck Rd Suite 3 Lake Hiawatha, NJ - 070342514 |
Business Phone Number: | 9733030175 |
Business Fax Number: | |
Mailing Address: | 9 N Beverwyck Rd, Suite 3 LAKE HIAWATHA |
State: | NJ |
Postal Code: | 070342514 |
Phone Number: | 9733030175 |
Fax Number: | |
NPI Enumeration Date: | 12/05/2007 |
NPI Last Update Date: | 08/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 37PC00391900 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |