Provider Demographics
NPI:1184874679
Name:HALPERN, LANCE (LPC & SCHOOL PSYCH)
Entity type:Individual
Prefix:MR
First Name:LANCE
Middle Name:
Last Name:HALPERN
Suffix:
Gender:M
Credentials:LPC & SCHOOL PSYCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 WINGED FOOT DRIVE
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726
Mailing Address - Country:US
Mailing Address - Phone:732-740-6254
Mailing Address - Fax:
Practice Address - Street 1:495 IRON BRIDGE RD STE 8
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5306
Practice Address - Country:US
Practice Address - Phone:732-294-5588
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00023900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health