Provider Demographics
NPI:1669942777
Name:PSYCHOLOGICAL & EDUCATIONAL CONSULTING
Entity type:Organization
Organization Name:PSYCHOLOGICAL & EDUCATIONAL CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL & SCHOOL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MATHEIS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:973-953-9123
Mailing Address - Street 1:12 IRON FORGE RD
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-4308
Mailing Address - Country:US
Mailing Address - Phone:973-953-9123
Mailing Address - Fax:973-200-2580
Practice Address - Street 1:513 W MOUNT PLEASANT AVE STE 212
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1721
Practice Address - Country:US
Practice Address - Phone:973-400-8371
Practice Address - Fax:973-200-2580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-01
Last Update Date:2018-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ170032464OtherPRIVATE PAY