Provider Demographics
NPI:1902926900
Name:NOVAK-ALEXANDER, DEBORAH (MA,LPC)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:NOVAK-ALEXANDER
Suffix:
Gender:F
Credentials:MA,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:847 KINDERKAMACK RD
Mailing Address - Street 2:
Mailing Address - City:RIVER EDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07661-2323
Mailing Address - Country:US
Mailing Address - Phone:201-599-1698
Mailing Address - Fax:
Practice Address - Street 1:740 PLYMPTON ST
Practice Address - Street 2:
Practice Address - City:NEW MILFORD
Practice Address - State:NJ
Practice Address - Zip Code:07646-2114
Practice Address - Country:US
Practice Address - Phone:201-262-7544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00211000101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health