Provider Demographics
NPI:1851727234
Name:KRENTZMAN, BETH (MS)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:KRENTZMAN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 N MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08723-3359
Mailing Address - Country:US
Mailing Address - Phone:732-986-5150
Mailing Address - Fax:
Practice Address - Street 1:22 N MAPLEWOOD DR
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08723-3359
Practice Address - Country:US
Practice Address - Phone:732-986-5150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-18
Last Update Date:2025-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC01131300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ16483839OtherCAQH