Provider Demographics
NPI:1861998080
Name:HRITZ, DEBORAH (LPC)
Entity type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:HRITZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13 LARSEN PARK DR
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-8169
Mailing Address - Country:US
Mailing Address - Phone:800-301-3984
Mailing Address - Fax:
Practice Address - Street 1:13 LARSEN PARK DR
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:NJ
Practice Address - Zip Code:08055-8169
Practice Address - Country:US
Practice Address - Phone:800-301-3984
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00611400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional