Provider Demographics
NPI:1902047970
Name:NEUSCHELER, LAURA M (LPC)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:M
Last Name:NEUSCHELER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CHESTNUT DR
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-5627
Mailing Address - Country:US
Mailing Address - Phone:201-919-6383
Mailing Address - Fax:
Practice Address - Street 1:201 CHESTNUT DR
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-5627
Practice Address - Country:US
Practice Address - Phone:201-919-6383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-20
Last Update Date:2009-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00388300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional