Provider Demographics
NPI:1336287978
Name:GITLOW, DEANNA P (LICENSED COUNSELOR)
Entity type:Individual
Prefix:MRS
First Name:DEANNA
Middle Name:P
Last Name:GITLOW
Suffix:
Gender:F
Credentials:LICENSED COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:33 WOOD AVE S
Mailing Address - Street 2:6TH FLOOR
Mailing Address - City:ISELIN
Mailing Address - State:NJ
Mailing Address - Zip Code:08830-2735
Mailing Address - Country:US
Mailing Address - Phone:732-536-0076
Mailing Address - Fax:732-972-8846
Practice Address - Street 1:33 WOOD AVE S
Practice Address - Street 2:6TH FLOOR
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-2735
Practice Address - Country:US
Practice Address - Phone:732-536-0076
Practice Address - Fax:732-972-8846
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00331900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional