Provider Demographics
NPI:1487760047
Name:FLEISCHMAN, NEAL L (EDS,LMFT)
Entity type:Individual
Prefix:
First Name:NEAL
Middle Name:L
Last Name:FLEISCHMAN
Suffix:
Gender:M
Credentials:EDS,LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 AQUEDUCT PL
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-2400
Mailing Address - Country:US
Mailing Address - Phone:732-773-2012
Mailing Address - Fax:732-294-7470
Practice Address - Street 1:495 IRON BRIDGE RD
Practice Address - Street 2:SUITE 8
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3069
Practice Address - Country:US
Practice Address - Phone:732-773-2012
Practice Address - Fax:732-294-7470
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI00137900106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist