Healthcare Provider Details

I. General information

NPI: 1982172805
Provider Name (Legal Business Name): PAULETTE F. BROWER LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PAULETTE F. BROWER-GARRETT LPC

II. Dates (important events)

Enumeration Date: 11/08/2018
Last Update Date: 11/08/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 E RIDGEWOOD AVE
PARAMUS NJ
07652-4142
US

IV. Provider business mailing address

6 ROCK SPRING AVE
WEST ORANGE NJ
07052-2627
US

V. Phone/Fax

Practice location:
  • Phone: 201-262-7108
  • Fax: 201-262-1698
Mailing address:
  • Phone: 973-220-7430
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC00046500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: