Provider Demographics
NPI:1376730895
Name:BARTELUCE, TONI ANN (LPC)
Entity Type:Individual
Prefix:MS
First Name:TONI ANN
Middle Name:
Last Name:BARTELUCE
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 1:226 E LACEY RD
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-4316
Mailing Address - Country:US
Mailing Address - Phone:609-693-8805
Mailing Address - Fax:609-971-6958
Practice Address - Street 1:226 E LACEY RD
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-4316
Practice Address - Country:US
Practice Address - Phone:609-693-8805
Practice Address - Fax:609-971-6958
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-28
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00063400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional