Provider Demographics
NPI:1760756654
Name:NEUBER, DOROTHEA (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DOROTHEA
Middle Name:
Last Name:NEUBER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:DORIE
Other - Middle Name:
Other - Last Name:NEUBER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:12000 LINCOLN DR W
Mailing Address - Street 2:STE 407
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3402
Mailing Address - Country:US
Mailing Address - Phone:856-985-3404
Mailing Address - Fax:856-985-7847
Practice Address - Street 1:12000 LINCOLN DR W
Practice Address - Street 2:STE 407
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3402
Practice Address - Country:US
Practice Address - Phone:856-985-3404
Practice Address - Fax:856-985-7847
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-24
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC046509001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical