Provider Demographics
NPI:1780857581
Name:NEUBERG, HEIDI WILLIAMSON (LPC)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:WILLIAMSON
Last Name:NEUBERG
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 1:51 SOUTH ST STE 10
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-8107
Mailing Address - Country:US
Mailing Address - Phone:973-998-0333
Mailing Address - Fax:973-695-4558
Practice Address - Street 1:51 SOUTH ST STE 10
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-8107
Practice Address - Country:US
Practice Address - Phone:973-998-0333
Practice Address - Fax:973-695-4558
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-12
Last Update Date:2024-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00499600101YP2500X
NJ37RT00370800101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional