Ida V Davistyson
Counselor, Mental Health in Matawan, New Jersey
1669113361- Practice location
- 166 Main St, Matawan, NJ 07747-3104
- Phone
- 732-290-9040
- Fax
- —
- Last updated
- April 5, 2022
Ida Vernelius Davistyson is a Counselor, Mental Health based in Matawan, NJ. Ida Vernelius Davistyson practices in Matawan, NJ. The NPI Number for Ida Vernelius Davistyson is 1669113361. The current practice location address for Ida Vernelius Davistyson is 166 Main St, Matawan, NJ 07747-3104 and can be reached out via phone at 732-290-9040.
Provider Profile Details
- NPI Number
- 1669113361
- Provider Name
- Ida Vernelius Davistyson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 166 Main St, Matawan, NJ 07747-3104
- Phone Number
- 732-290-9040
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 5, 2022
- Last Update Date
- April 5, 2022
- Certification Date
- April 5, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 166 Main St
Matawan, NJ 07747-3104 - City
- Matawan
- State
- New Jersey
- Zip
- 07747-3104
- Phone Number
- 732-290-9040
Provider Business Mailing Address Details
- Address
- 1 Kyle Way
Ewing, NJ 08628-2508 - City
- Ewing
- State
- NJ
- Zip
- 08628-2508
- Phone Number
- 732-688-9373
License Information
- 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 Ida V Davistyson?
The NPI number of Ida V Davistyson is 1669113361. It was assigned on April 5, 2022 and is currently active in the NPPES registry.
What is the specialty of Ida V Davistyson?
Ida V Davistyson is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Ida V Davistyson practice?
The practice location is 166 Main St, Matawan, NJ 07747-3104. The office can be reached at 732-290-9040 (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 1669113361 directly on the NPPES registry website.