Provider Demographics
NPI:1578936829
Name:NJ BEHAVIORAL AND HEALTH PSYCHOLOGY LLC
Entity type:Organization
Organization Name:NJ BEHAVIORAL AND HEALTH PSYCHOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:COCCO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:862-216-4202
Mailing Address - Street 1:14 RIDGEDALE AVE
Mailing Address - Street 2:STE. 103
Mailing Address - City:CEDAR KNOLLS
Mailing Address - State:NJ
Mailing Address - Zip Code:07927-1106
Mailing Address - Country:US
Mailing Address - Phone:862-216-4202
Mailing Address - Fax:
Practice Address - Street 1:14 RIDGEDALE AVE
Practice Address - Street 2:STE. 103
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927-1106
Practice Address - Country:US
Practice Address - Phone:862-216-4202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-09
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty