Provider Demographics
NPI:1164065751
Name:FILDERE, THERESA (LPC)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:
Last Name:FILDERE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 THROCKMORTON ST
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1946
Mailing Address - Country:US
Mailing Address - Phone:732-431-0646
Mailing Address - Fax:732-431-0648
Practice Address - Street 1:59 THROCKMORTON ST
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-1946
Practice Address - Country:US
Practice Address - Phone:732-431-0646
Practice Address - Fax:732-431-0648
Is Sole Proprietor?:No
Enumeration Date:2019-10-25
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional