Provider Demographics
NPI:1861676454
Name:REINHARDT, LOIS ANN (RN,MA,LPC)
Entity Type:Individual
Prefix:MRS
First Name:LOIS
Middle Name:ANN
Last Name:REINHARDT
Suffix:
Gender:F
Credentials:RN,MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:529 ROUTE 515 /GUTHRIE CORNER
Mailing Address - Street 2:SUITE 202
Mailing Address - City:VERNON
Mailing Address - State:NJ
Mailing Address - Zip Code:07462
Mailing Address - Country:US
Mailing Address - Phone:973-764-5000
Mailing Address - Fax:973-875-2875
Practice Address - Street 1:529 ROUTE 515 /GUTHRIE CORNER
Practice Address - Street 2:SUITE 202
Practice Address - City:VERNON
Practice Address - State:NJ
Practice Address - Zip Code:07462
Practice Address - Country:US
Practice Address - Phone:973-764-5000
Practice Address - Fax:973-875-2875
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-19
Last Update Date:2007-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00118700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional