Provider Demographics
NPI:1720741994
Name:BEGENDORF, ERIN (LPC, PMH-C)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:BEGENDORF
Suffix:
Gender:F
Credentials:LPC, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:388 MORRISTOWN RD
Mailing Address - Street 2:
Mailing Address - City:MATAWAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-3585
Mailing Address - Country:US
Mailing Address - Phone:551-427-4971
Mailing Address - Fax:
Practice Address - Street 1:168 WHITE HORSE AVE
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08610-2624
Practice Address - Country:US
Practice Address - Phone:551-427-4971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-14
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00587300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional