Glenn Peter Hofferber, MS, LPC, NCC

Individual provider Active NPI Marriage & Family Therapist · Rumson, NJ

NPI 1417798802 · NPPES record last updated Jun 1, 2024

Key facts

NPI
1417798802
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
37PC01020900 (NJ)
Practice address
82 Washington St
Rumson, NJ 07760-1432
Phone
(732) 908-0784
NPI assigned
Jun 1, 2024
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
37PC01020900NJMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37PC01020900 NJ Yes

Addresses

Primary practice location

82 Washington St
Rumson, NJ 07760-1432

Mailing address

82 Washington St
Rumson, NJ 07760-1432
Phone (732) 908-0784

Other providers in Rumson, NJ

All providers in Rumson, NJ · Marriage & Family Therapist in New Jersey

Sources for this page

Verify at the official NPI Registry.