Provider Demographics
NPI:1932341625
Name:LOMBARDO, ANTHONY (LPC)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:
Last Name:LOMBARDO
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 COTTAGE LN
Mailing Address - Street 2:
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-4000
Mailing Address - Country:US
Mailing Address - Phone:973-670-0031
Mailing Address - Fax:
Practice Address - Street 1:24 COTTAGE LN
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-4000
Practice Address - Country:US
Practice Address - Phone:973-670-0031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00388200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional