Doctor Name: | JOY L. HUSTON |
NPI Number: | 1073705703 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 4225 |
Business Practice Address: | 51 Upper Montclair Plz Suite 29 Upper Montclair, NJ - 070431343 |
Business Phone Number: | 2012139573 |
Business Fax Number: | 9732819047 |
Mailing Address: | 51 Upper Montclair Plz, Suite 29 UPPER MONTCLAIR |
State: | NJ |
Postal Code: | 070431343 |
Phone Number: | 2012139573 |
Fax Number: | 9732819047 |
NPI Enumeration Date: | 08/16/2007 |
NPI Last Update Date: | 01/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4225 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |