Provider Demographics
NPI:1316951288
Name:LITINGER, NEAL HOWARD (PHD)
Entity type:Individual
Prefix:DR
First Name:NEAL
Middle Name:HOWARD
Last Name:LITINGER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:NEAL
Other - Middle Name:HOWARD
Other - Last Name:LITINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2168 MILLBURN AVE
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040
Mailing Address - Country:US
Mailing Address - Phone:201-445-0779
Mailing Address - Fax:201-762-1304
Practice Address - Street 1:2168 MILLBURN AVE
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2640
Practice Address - Country:US
Practice Address - Phone:201-445-0779
Practice Address - Fax:201-762-1304
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJSIO1983103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ755059Medicare ID - Type Unspecified