Provider Demographics
NPI:1063712420
Name:PFEIFFER, MERYL (LPC)
Entity type:Individual
Prefix:MS
First Name:MERYL
Middle Name:
Last Name:PFEIFFER
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 1:360 SPRINGFIELD AVE
Mailing Address - Street 2:SUITE 301
Mailing Address - City:SUMMIT
Mailing Address - State:NJ
Mailing Address - Zip Code:07901-4608
Mailing Address - Country:US
Mailing Address - Phone:973-564-5997
Mailing Address - Fax:
Practice Address - Street 1:360 SPRINGFIELD AVE
Practice Address - Street 2:SUITE 301
Practice Address - City:SUMMIT
Practice Address - State:NJ
Practice Address - Zip Code:07901-4608
Practice Address - Country:US
Practice Address - Phone:973-564-5997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00307600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health