Provider Demographics
NPI:1043488125
Name:ZDEP-MATTOCKS, BARBARA ANNA (LPC)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:ANNA
Last Name:ZDEP-MATTOCKS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:25 LINDSLEY DR STE 100
Mailing Address - Street 2:ATTN: C. LAMPRON
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4456
Mailing Address - Country:US
Mailing Address - Phone:973-451-0246
Mailing Address - Fax:973-451-0166
Practice Address - Street 1:95 MT. KEMBLE AVENUE
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07962-1978
Practice Address - Country:US
Practice Address - Phone:888-247-1400
Practice Address - Fax:973-451-0166
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00348300101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional