Provider Demographics
NPI:1184792442
Name:NEREO, MARILYNN FERA (PHD, LPC, LMFT)
Entity type:Individual
Prefix:DR
First Name:MARILYNN
Middle Name:FERA
Last Name:NEREO
Suffix:
Gender:F
Credentials:PHD, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:RIDGEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07450-2416
Mailing Address - Country:US
Mailing Address - Phone:201-447-6535
Mailing Address - Fax:201-652-4903
Practice Address - Street 1:310 HEIGHTS RD
Practice Address - Street 2:
Practice Address - City:RIDGEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07450-2416
Practice Address - Country:US
Practice Address - Phone:201-447-6535
Practice Address - Fax:201-652-4903
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00346000101YP2500X
NY000329-1106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist