Corryn Defazio
Counselor, Mental Health in Hoboken, New Jersey
1023835121- Practice location
- 258 Newark St Ste 205, Hoboken, NJ 07030-3418
- Phone
- 908-975-1853
- Fax
- —
- Last updated
- September 21, 2024
Corryn Defazio is a Counselor, Mental Health based in Hoboken, NJ. Corryn Defazio practices in Hoboken, NJ. The NPI Number for Corryn Defazio is 1023835121 and holds a License No. 37AC00755700 (NJ). The current practice location address for Corryn Defazio is 258 Newark St Ste 205, Hoboken, NJ 07030-3418 and can be reached out via phone at 908-975-1853.
Provider Profile Details
- NPI Number
- 1023835121
- Provider Name
- Corryn Defazio
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 258 Newark St Ste 205, Hoboken, NJ 07030-3418
- Phone Number
- 908-975-1853
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 21, 2024
- Last Update Date
- September 21, 2024
- Certification Date
- September 21, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 258 Newark St Ste 205
Hoboken, NJ 07030-3418 - City
- Hoboken
- State
- New Jersey
- Zip
- 07030-3418
- Phone Number
- 908-975-1853
Provider Business Mailing Address Details
- Address
- 258 Newark St Ste 205
Hoboken, NJ 07030-3418 - City
- Hoboken
- State
- NJ
- Zip
- 07030-3418
- Phone Number
- 908-975-1853
License Information
- License Number
- 37AC00755700
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Corryn Defazio?
The NPI number of Corryn Defazio is 1023835121. It was assigned on September 21, 2024 and is currently active in the NPPES registry.
What is the specialty of Corryn Defazio?
Corryn Defazio is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00755700.
Where does Corryn Defazio practice?
The practice location is 258 Newark St Ste 205, Hoboken, NJ 07030-3418. The office can be reached at 908-975-1853 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023835121 directly on the NPPES registry website.