Provider Demographics
NPI:1447428859
Name:LATORRE, THERESE COLETTE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:THERESE
Middle Name:COLETTE
Last Name:LATORRE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:THERESE
Other - Middle Name:
Other - Last Name:CRONIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:17 WEST RED BANK AVENUE, SUITE 106
Mailing Address - Street 2:UNDERWOOD MEMORIAL HOSPITAL
Mailing Address - City:WOODBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:08096
Mailing Address - Country:US
Mailing Address - Phone:856-251-3308
Mailing Address - Fax:
Practice Address - Street 1:17 WEST RED BANK AVENUE, SUITE 106
Practice Address - Street 2:UNDERWOOD MEMORIAL HOSPITAL
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096
Practice Address - Country:US
Practice Address - Phone:856-251-3308
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL053918001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical