1396120564 NPI number — MS. KAREN HOISINGTON MA, NCC, LPC

Table of content: MS. KAREN HOISINGTON MA, NCC, LPC (NPI 1396120564)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396120564 NPI number — MS. KAREN HOISINGTON MA, NCC, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HOISINGTON
Provider First Name:
KAREN
Provider Middle Name:
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
MA, NCC, LPC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396120564
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/29/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
950A S CHESTER AVE
Provider Second Line Business Mailing Address:
SUITE 20
Provider Business Mailing Address City Name:
DELRAN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08075-1234
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-824-0599
Provider Business Mailing Address Fax Number:
856-824-9340

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
950A S CHESTER AVE
Provider Second Line Business Practice Location Address:
SUITE 20
Provider Business Practice Location Address City Name:
DELRAN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08075-1234
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-824-0599
Provider Business Practice Location Address Fax Number:
856-824-9340
Provider Enumeration Date:
07/29/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  37PC00319800 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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