Provider Demographics
NPI:1972041796
Name:OGLETREE, NEVOLIA (LMFT)
Entity Type:Individual
Prefix:
First Name:NEVOLIA
Middle Name:
Last Name:OGLETREE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1540 KUSER RD
Mailing Address - Street 2:SUITE A3
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08619-3828
Mailing Address - Country:US
Mailing Address - Phone:609-638-4279
Mailing Address - Fax:609-695-6466
Practice Address - Street 1:6 MANSION HILL DR
Practice Address - Street 2:
Practice Address - City:EWING
Practice Address - State:NJ
Practice Address - Zip Code:08628-2656
Practice Address - Country:US
Practice Address - Phone:609-638-4279
Practice Address - Fax:609-695-6466
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-01
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ7F100180700106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist