Provider Demographics
NPI:1760994792
Name:SCHECHTER, ISAAC (LPC)
Entity Type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:SCHECHTER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:YITZCHOK
Other - Middle Name:
Other - Last Name:SCHECHTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1 PRIMROSE DR
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-3283
Mailing Address - Country:US
Mailing Address - Phone:732-267-8881
Mailing Address - Fax:732-901-0040
Practice Address - Street 1:1 PRIMROSE DR
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-3283
Practice Address - Country:US
Practice Address - Phone:732-267-8881
Practice Address - Fax:732-901-0040
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00514600101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional