MEDICARE: HEIDI WILLIAMSON NEUBERG 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
1	101YP2500X	Professional Counselor	37PC00499600	NJ
2	101Y00000X	Counselor	37RT00370800	NJ

General Provider Information

NPI Number	:	1780857581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI WILLIAMSON NEUBERG LPC

Provider Business Mailing Address
First Line	:	51 SOUTH ST STE 10
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-8107
Country	:	US
Telephone Number	:	973-998-0333
Fax Number	:	973-695-4558

Provider Business Practice Location Address
First Line	:	51 SOUTH ST STE 10
Second Line	:
City	:	MORRISTOWN
State	:	NJ
Zip	:	07960-8107
Country	:	US
Telephone Number	:	973-998-0333
Fax Number	:	973-695-4558

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2008
Last Update Date	:	01/21/2024

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