Provider Demographics
NPI:1093864084
Name:ARONSON, ALICE (MA)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:
Last Name:ARONSON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 GLEN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-3101
Mailing Address - Country:US
Mailing Address - Phone:609-354-2155
Mailing Address - Fax:856-795-1870
Practice Address - Street 1:3 S HADDON AVE STE 2
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-1882
Practice Address - Country:US
Practice Address - Phone:856-795-1880
Practice Address - Fax:856-795-1870
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00223900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health