Provider Demographics
NPI:1316190895
Name:LUEDECKER, DEBORAH DORIS (LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:DORIS
Last Name:LUEDECKER
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 1:36 BALMORAL DR
Mailing Address - Street 2:
Mailing Address - City:BERKELEY HEIGHTS
Mailing Address - State:NJ
Mailing Address - Zip Code:07922-1355
Mailing Address - Country:US
Mailing Address - Phone:908-305-2846
Mailing Address - Fax:908-668-0676
Practice Address - Street 1:1 MADISON AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7335
Practice Address - Country:US
Practice Address - Phone:908-305-2846
Practice Address - Fax:908-668-0676
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-29
Last Update Date:2008-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00056300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional