Provider Demographics
NPI:1699805754
Name:BIGELSEN, SYLVIA (MA EDS)
Entity type:Individual
Prefix:MRS
First Name:SYLVIA
Middle Name:
Last Name:BIGELSEN
Suffix:
Gender:F
Credentials:MA EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1457
Mailing Address - Country:US
Mailing Address - Phone:973-263-6526
Mailing Address - Fax:973-263-6525
Practice Address - Street 1:15 SHERWOOD DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1457
Practice Address - Country:US
Practice Address - Phone:973-263-6526
Practice Address - Fax:973-263-6525
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJF100866101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health