| Doctor Name: | DR. BETTY JARUSIEWICZ |
| NPI Number: | 1174609986 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | 37LC00119700 |
| Business Practice Address: | 222 Serpentine Dr Bayville, NJ - 087213227 |
| Business Phone Number: | 7328014505 |
| Business Fax Number: | 7322698385 |
| Mailing Address: | 267 Cypress Dr, BAYVILLE |
| State: | NJ |
| Postal Code: | 087213110 |
| Phone Number: | 7328014505 |
| Fax Number: | 7322698385 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 09/05/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 37LC00119700 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |