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NPI Code Detail

MEDICARE: MS. STEPHANI R FRIED LPC

MEDICARE:  MS. STEPHANI R FRIED  LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor000643NJ

General Provider Information

NPI Number : 1295960334
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STEPHANI R FRIED LPC
Provider Business Mailing Address
First Line : 1576 US HIGHWAY 130
Second Line :
City : NORTH BRUNSWICK
State : NJ
Zip : 08902-3011
Country : US
Telephone Number : 732-821-1448
Fax Number :
Provider Business Practice Location Address
First Line : 1576 US HIGHWAY 130
Second Line :
City : NORTH BRUNSWICK
State : NJ
Zip : 08902-3011
Country : US
Telephone Number : 732-821-1448
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2009
Last Update Date : 05/19/2009

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Directions to “ MS. STEPHANI R FRIED LPC” Practice Location

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