Provider Demographics
NPI:1972707529
Name:SEITLER, BURTON NORMAN (PHD)
Entity Type:Individual
Prefix:DR
First Name:BURTON
Middle Name:NORMAN
Last Name:SEITLER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 GARBER SQUARE
Mailing Address - Street 2:(SUITE #5)
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450
Mailing Address - Country:US
Mailing Address - Phone:201-259-0274
Mailing Address - Fax:201-670-0063
Practice Address - Street 1:10 GARBER SQUARE
Practice Address - Street 2:(SUITE #5)
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450
Practice Address - Country:US
Practice Address - Phone:201-259-0274
Practice Address - Fax:201-670-0063
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2020-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00202100103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical