Doctor Name: | AYRIN L HNOSKO |
NPI Number: | 1053740076 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05538700 |
Business Practice Address: | 765 E Route 70 Building A-100 Marlton, NJ - 080532341 |
Business Phone Number: | 8569833900 |
Business Fax Number: | 8568100110 |
Mailing Address: | 875 Kings Hwy, Suite 100 WEST DEPTFORD |
State: | NJ |
Postal Code: | 080963165 |
Phone Number: | 8562510500 |
Fax Number: | 8562519696 |
NPI Enumeration Date: | 11/12/2013 |
NPI Last Update Date: | 11/12/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05538700 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |