Provider Demographics
NPI:1346555091
Name:LOEWENTHAL, EBEN C (LPC NCC)
Entity Type:Individual
Prefix:MR
First Name:EBEN
Middle Name:C
Last Name:LOEWENTHAL
Suffix:
Gender:M
Credentials:LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7705
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-7705
Mailing Address - Country:US
Mailing Address - Phone:732-828-2829
Mailing Address - Fax:
Practice Address - Street 1:230 ROUTE 206 STE 202
Practice Address - Street 2:
Practice Address - City:FLANDERS
Practice Address - State:NJ
Practice Address - Zip Code:07836-9190
Practice Address - Country:US
Practice Address - Phone:732-828-2829
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-18
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00069100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional