Provider Demographics
NPI:1174023428
Name:BROTHMAN-LEONARD, SUZANNAH (LPC)
Entity type:Individual
Prefix:
First Name:SUZANNAH
Middle Name:
Last Name:BROTHMAN-LEONARD
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:SUZANNAH
Other - Middle Name:
Other - Last Name:BROTHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:2600 TILTON RD UNIT 5167
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-1831
Mailing Address - Country:US
Mailing Address - Phone:609-614-3085
Mailing Address - Fax:
Practice Address - Street 1:1800 NEW RD STE 100
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08225-2017
Practice Address - Country:US
Practice Address - Phone:609-614-3085
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-13
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00604300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health