Provider Demographics
NPI:1669569711
Name:MULFINGER, STEPHANIE L (LCSW)
Entity type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:L
Last Name:MULFINGER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 PULIS AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07417-2023
Mailing Address - Country:US
Mailing Address - Phone:201-848-9369
Mailing Address - Fax:201-848-0044
Practice Address - Street 1:234 PULIS AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07417-2023
Practice Address - Country:US
Practice Address - Phone:201-848-9369
Practice Address - Fax:201-848-0044
Is Sole Proprietor?:No
Enumeration Date:2006-10-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC043113001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical