1881051696 NPI number — MRS. JACQUELINE YVONNE GHEE MASTER OF SOCIAL WOR

Table of content: MRS. JACQUELINE YVONNE GHEE MASTER OF SOCIAL WOR (NPI 1881051696)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881051696 NPI number — MRS. JACQUELINE YVONNE GHEE MASTER OF SOCIAL WOR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GHEE
Provider First Name:
JACQUELINE
Provider Middle Name:
YVONNE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MASTER OF SOCIAL WOR
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:
1881051696
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/25/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
P.O. BOX 565
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CLIFTON
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
862-267-4583
Provider Business Mailing Address Fax Number:
973-272-8940

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
612 14TH AVE.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLIFTON
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
862-267-4583
Provider Business Practice Location Address Fax Number:
973-272-8940
Provider Enumeration Date:
01/25/2016

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: 104100000X , 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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