Provider Demographics
NPI:1770667875
Name:BITTNER, MEREDITH M (LPC)
Entity Type:Individual
Prefix:MRS
First Name:MEREDITH
Middle Name:M
Last Name:BITTNER
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 1:1632 ROUTE 38
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08048-2923
Mailing Address - Country:US
Mailing Address - Phone:609-702-5889
Mailing Address - Fax:609-702-5882
Practice Address - Street 1:1632 ROUTE 38
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NJ
Practice Address - Zip Code:08048-2923
Practice Address - Country:US
Practice Address - Phone:609-702-5889
Practice Address - Fax:609-702-5882
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00081900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health