Provider Demographics
NPI:1669997540
Name:CEHAK, ALEXANDER MATHEW (LCSW)
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:MATHEW
Last Name:CEHAK
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 WHITE BIRCH DR
Mailing Address - Street 2:
Mailing Address - City:CINNAMINSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08077-4396
Mailing Address - Country:US
Mailing Address - Phone:201-230-7907
Mailing Address - Fax:
Practice Address - Street 1:310 WHITE BIRCH DR
Practice Address - Street 2:
Practice Address - City:CINNAMINSON
Practice Address - State:NJ
Practice Address - Zip Code:08077-4396
Practice Address - Country:US
Practice Address - Phone:201-230-7907
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC05520600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health