| Doctor Name: | DR. CONSTANZA HOYOS NERVI |
| NPI Number: | 1417010646 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSYD |
| License Number: | 35SI00383000 |
| Business Practice Address: | 161 Herbert Ave Fanwood, NJ - 070231643 |
| Business Phone Number: | 9088895892 |
| Business Fax Number: | |
| Mailing Address: | 161 Herbert Ave, FANWOOD |
| State: | NJ |
| Postal Code: | 070231643 |
| Phone Number: | 9088895892 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 35SI00383000 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |