Provider Demographics
NPI:1992242556
Name:FAMILY INDIVIDUAL COUPLES THERAPY ASSOCIATES
Entity type:Organization
Organization Name:FAMILY INDIVIDUAL COUPLES THERAPY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:PFLAUMER-CAPICI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-917-7033
Mailing Address - Street 1:PO BOX 6262
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:NJ
Mailing Address - Zip Code:08875-6262
Mailing Address - Country:US
Mailing Address - Phone:908-917-7033
Mailing Address - Fax:
Practice Address - Street 1:613 EDPAS RD
Practice Address - Street 2:
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-3810
Practice Address - Country:US
Practice Address - Phone:908-917-7033
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37F1000176700251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health