Healthcare Provider Details

I. General information

NPI: 1982779534
Provider Name (Legal Business Name): CAROL LEE VEIZER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 01/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

623 RIVER RD
FAIR HAVEN NJ
07704-3200
US

IV. Provider business mailing address

623 RIVER RD
FAIR HAVEN NJ
07704-3200
US

V. Phone/Fax

Practice location:
  • Phone: 732-747-2944
  • Fax: 732-747-2979
Mailing address:
  • Phone: 732-747-2944
  • Fax: 732-747-2979

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: