Provider Demographics
NPI:1932314168
Name:PULZ, GARY E (PD, NCSP, LPC)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:E
Last Name:PULZ
Suffix:
Gender:M
Credentials:PD, NCSP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1207
Mailing Address - Street 2:
Mailing Address - City:BEACH HAVEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08008-0031
Mailing Address - Country:US
Mailing Address - Phone:609-290-4040
Mailing Address - Fax:
Practice Address - Street 1:125 ENGLESIDE AVE
Practice Address - Street 2:
Practice Address - City:BEACH HAVEN
Practice Address - State:NJ
Practice Address - Zip Code:08008-1762
Practice Address - Country:US
Practice Address - Phone:609-290-4040
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00142900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional