Provider Demographics
NPI:1982779534
Name:VEIZER, CAROL LEE (LPC)
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:LEE
Last Name:VEIZER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:623 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:FAIR HAVEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07704-3200
Mailing Address - Country:US
Mailing Address - Phone:732-747-2944
Mailing Address - Fax:732-747-2979
Practice Address - Street 1:623 RIVER RD
Practice Address - Street 2:
Practice Address - City:FAIR HAVEN
Practice Address - State:NJ
Practice Address - Zip Code:07704-3200
Practice Address - Country:US
Practice Address - Phone:732-747-2944
Practice Address - Fax:732-747-2979
Is Sole Proprietor?:No
Enumeration Date:2006-11-21
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor