1992010342 NPI number — MS. JOANNE CASEY ZULLIG M.A., LMHC, LPC

Table of content: MS. JOANNE CASEY ZULLIG M.A., LMHC, LPC (NPI 1992010342)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992010342 NPI number — MS. JOANNE CASEY ZULLIG M.A., LMHC, LPC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ZULLIG
Provider First Name:
JOANNE
Provider Middle Name:
CASEY
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
M.A., LMHC, 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:
1992010342
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23 KITCHELL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DENVILLE
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07834-1321
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
973-229-7828
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
400 NATHAN ELLIS HWY
Provider Second Line Business Practice Location Address:
SUITE 100
Provider Business Practice Location Address City Name:
MASHPEE
Provider Business Practice Location Address State Name:
MA
Provider Business Practice Location Address Postal Code:
02649-3121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
508-477-5844
Provider Business Practice Location Address Fax Number:
508-477-9334
Provider Enumeration Date:
08/10/2010

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: 101Y00000X , with the licence number:  3035 , registered in the state of MA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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