Provider Demographics
NPI:1114028685
Name:PRICE, OLGACY (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:OLGACY
Middle Name:
Last Name:PRICE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DEVON CT
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-2293
Mailing Address - Country:US
Mailing Address - Phone:732-449-9530
Mailing Address - Fax:732-449-9530
Practice Address - Street 1:525 HIGHWAY 70
Practice Address - Street 2:SUITE A3
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5847
Practice Address - Country:US
Practice Address - Phone:732-449-9530
Practice Address - Fax:732-449-9530
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00027500101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional