Provider Demographics
NPI:1184256273
Name:VYAS, SURBHI ALAIGH (LPC)
Entity type:Individual
Prefix:MRS
First Name:SURBHI
Middle Name:ALAIGH
Last Name:VYAS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 TENNYSON RD
Mailing Address - Street 2:
Mailing Address - City:EAST WINDSOR
Mailing Address - State:NJ
Mailing Address - Zip Code:08520-4690
Mailing Address - Country:US
Mailing Address - Phone:908-307-7622
Mailing Address - Fax:
Practice Address - Street 1:21 TENNYSON RD
Practice Address - Street 2:
Practice Address - City:EAST WINDSOR
Practice Address - State:NJ
Practice Address - Zip Code:08520-4690
Practice Address - Country:US
Practice Address - Phone:908-307-7622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-07
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00692700101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional