Provider Demographics
NPI:1841409802
Name:SCHONBERG, SUE E (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUE
Middle Name:E
Last Name:SCHONBERG
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:597 SPRINGFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-4503
Mailing Address - Country:US
Mailing Address - Phone:908-273-3133
Mailing Address - Fax:973-994-2128
Practice Address - Street 1:597 SPRINGFIELD AVE
Practice Address - Street 2:
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-4503
Practice Address - Country:US
Practice Address - Phone:908-273-3133
Practice Address - Fax:973-994-2128
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS006914L103TC0700X
NJ4478103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical