Nicole E Deshan
Counselor, Mental Health in Medford, New Jersey
1548000581- Practice location
- 32 S Main St, Medford, NJ 08055-2455
- Phone
- 856-617-4544
- Fax
- —
- Last updated
- May 28, 2024
Nicole Elizabeth Deshan is a Counselor, Mental Health based in Medford, NJ. Nicole Elizabeth Deshan practices in Medford, NJ. The NPI Number for Nicole Elizabeth Deshan is 1548000581 and holds a License No. 37AC00793700 (NJ). The current practice location address for Nicole Elizabeth Deshan is 32 S Main St, Medford, NJ 08055-2455 and can be reached out via phone at 856-617-4544.
Provider Profile Details
- NPI Number
- 1548000581
- Provider Name
- Nicole Elizabeth Deshan
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 32 S Main St, Medford, NJ 08055-2455
- Phone Number
- 856-617-4544
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 28, 2024
- Last Update Date
- May 28, 2024
- Certification Date
- May 28, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 32 S Main St
Medford, NJ 08055-2455 - City
- Medford
- State
- New Jersey
- Zip
- 08055-2455
- Phone Number
- 856-617-4544
Provider Business Mailing Address Details
- Address
- 2 Wisina CT
Medford, NJ 08055-9349 - City
- Medford
- State
- NJ
- Zip
- 08055-9349
- Phone Number
- 609-556-3215
License Information
- License Number
- 37AC00793700
- 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 Nicole E Deshan?
The NPI number of Nicole E Deshan is 1548000581. It was assigned on May 28, 2024 and is currently active in the NPPES registry.
What is the specialty of Nicole E Deshan?
Nicole E Deshan is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00793700.
Where does Nicole E Deshan practice?
The practice location is 32 S Main St, Medford, NJ 08055-2455. The office can be reached at 856-617-4544 (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 1548000581 directly on the NPPES registry website.