Provider Demographics
NPI:1205306388
Name:PELLICHERO, BARBARA (LPC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:
Last Name:PELLICHERO
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 1:4400 ROUTE 9 S STE 1000
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1383
Mailing Address - Country:US
Mailing Address - Phone:732-239-5449
Mailing Address - Fax:
Practice Address - Street 1:4249 ROUTE 9 N UNIT D
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-8308
Practice Address - Country:US
Practice Address - Phone:732-239-5449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-30
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00425900101YM0800X
101YP2500X
NJ37PC00742200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health