Doctor Name: | RUMYANA KUDEVA |
NPI Number: | 1407111610 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 44SC05509300 |
Business Practice Address: | 2500 English Creek Ave Bldg E Egg Harbor Twp, NJ - 082345549 |
Business Phone Number: | 6092720909 |
Business Fax Number: | 6096457343 |
Mailing Address: | Po Box 1086, PLEASANTVILLE |
State: | NJ |
Postal Code: | 082326086 |
Phone Number: | 6092728580 |
Fax Number: | 6096457343 |
NPI Enumeration Date: | 07/13/2012 |
NPI Last Update Date: | 07/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 44SC05509300 |
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 |