Provider Demographics
NPI:1154506442
Name:WHITMARSH, LONA (EDD)
Entity Type:Individual
Prefix:DR
First Name:LONA
Middle Name:
Last Name:WHITMARSH
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 WILSON LN
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:NJ
Mailing Address - Zip Code:07940-2509
Mailing Address - Country:US
Mailing Address - Phone:973-301-0624
Mailing Address - Fax:
Practice Address - Street 1:135 WASHINGTON ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-6970
Practice Address - Country:US
Practice Address - Phone:973-971-0660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100196200103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist