Provider Demographics
NPI:1871151969
Name:SEKHON, RAVJIT KAUR
Entity type:Individual
Prefix:
First Name:RAVJIT
Middle Name:KAUR
Last Name:SEKHON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TYLER AVE
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-1716
Mailing Address - Country:US
Mailing Address - Phone:732-512-8306
Mailing Address - Fax:
Practice Address - Street 1:1 TYLER AVE
Practice Address - Street 2:
Practice Address - City:CARTERET
Practice Address - State:NJ
Practice Address - Zip Code:07008-1716
Practice Address - Country:US
Practice Address - Phone:732-512-8306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-03
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC055879001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical