Healthcare Provider Details

I. General information

NPI: 1497867196
Provider Name (Legal Business Name): BEVERLY ZAGOFSKY LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

385 STATE ROUTE 24 SUITE 3K
CHESTER NJ
07930-2918
US

IV. Provider business mailing address

4 DUKE CT
MORRISTOWN NJ
07960-3256
US

V. Phone/Fax

Practice location:
  • Phone: 908-879-2222
  • Fax: 908-879-8993
Mailing address:
  • Phone: 973-895-4343
  • Fax: 973-895-1285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00133300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: