Provider Demographics
NPI:1528674520
Name:BAMBER, MARIA MARGARITA
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:MARGARITA
Last Name:BAMBER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 MANORHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:EWING
Mailing Address - State:NJ
Mailing Address - Zip Code:08638-1728
Mailing Address - Country:US
Mailing Address - Phone:609-472-2014
Mailing Address - Fax:
Practice Address - Street 1:60 CATHY LANE
Practice Address - Street 2:SUITE 103
Practice Address - City:FLORENCE
Practice Address - State:NJ
Practice Address - Zip Code:08518
Practice Address - Country:US
Practice Address - Phone:609-499-0165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00539800101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health