Provider Demographics
NPI:1811210396
Name:MENGER, ROSEMARY ANNE (MA, LCADC)
Entity Type:Individual
Prefix:MRS
First Name:ROSEMARY
Middle Name:ANNE
Last Name:MENGER
Suffix:
Gender:F
Credentials:MA, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 NAZARENE LANE
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3727
Mailing Address - Country:US
Mailing Address - Phone:973-903-9483
Mailing Address - Fax:570-402-1144
Practice Address - Street 1:21 MAIN STREET
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1916
Practice Address - Country:US
Practice Address - Phone:973-903-9483
Practice Address - Fax:570-402-1144
Is Sole Proprietor?:No
Enumeration Date:2010-03-11
Last Update Date:2016-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00073900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional