Provider Demographics
NPI:1861231110
Name:SAYLER, ANGELIQUE (LSW)
Entity type:Individual
Prefix:
First Name:ANGELIQUE
Middle Name:
Last Name:SAYLER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LAWRENCE DR APT 601
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-7162
Mailing Address - Country:US
Mailing Address - Phone:719-452-9415
Mailing Address - Fax:
Practice Address - Street 1:1100 CORNWALL RD STE 111
Practice Address - Street 2:
Practice Address - City:MONMOUTH JUNCTION
Practice Address - State:NJ
Practice Address - Zip Code:08852-2411
Practice Address - Country:US
Practice Address - Phone:732-605-6353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL07093200104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker