Provider Demographics
NPI:1356764286
Name:LDZ PSYCHOTHERAPY AND CONSULTING, LLC
Entity type:Organization
Organization Name:LDZ PSYCHOTHERAPY AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:LENORA
Authorized Official - Middle Name:
Authorized Official - Last Name:ZIEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:732-610-4122
Mailing Address - Street 1:710 TENNENT RD
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3161
Mailing Address - Country:US
Mailing Address - Phone:732-610-4122
Mailing Address - Fax:
Practice Address - Street 1:710 TENNENT RD
Practice Address - Street 2:SUITE 303
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3161
Practice Address - Country:US
Practice Address - Phone:732-610-4122
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty