Provider Demographics
NPI:1700264256
Name:BARBARA LAUER LISTHAUS, PSY. D., LLC
Entity type:Organization
Organization Name:BARBARA LAUER LISTHAUS, PSY. D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAUER-LISTHAUS
Authorized Official - Suffix:
Authorized Official - Credentials:PSY D
Authorized Official - Phone:201-292-4233
Mailing Address - Street 1:513 W MOUNT PLEASANT AVE STE 210
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1721
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:513 W MOUNT PLEASANT AVE STE 210
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1721
Practice Address - Country:US
Practice Address - Phone:201-292-4233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-15
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty