Susan-Jo Derickson
Counselor in Hainesport, New Jersey
1912369117- Practice location
- 54 Mount Laurel RD, Hainesport, NJ 08036-2712
- Phone
- 609-261-0951
- Fax
- —
- Last updated
- March 26, 2016
Susan-Jo Derickson is a Counselor based in Hainesport, NJ. Susan-Jo Derickson practices in Hainesport, NJ. The NPI Number for Susan-Jo Derickson is 1912369117. The current practice location address for Susan-Jo Derickson is 54 Mount Laurel RD, Hainesport, NJ 08036-2712 and can be reached out via phone at 609-261-0951.
Provider Profile Details
- NPI Number
- 1912369117
- Provider Name
- Susan-Jo Derickson
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 54 Mount Laurel RD, Hainesport, NJ 08036-2712
- Phone Number
- 609-261-0951
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 26, 2016
- Last Update Date
- March 26, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 54 Mount Laurel RD
Hainesport, NJ 08036-2712 - City
- Hainesport
- State
- New Jersey
- Zip
- 08036-2712
- Phone Number
- 609-261-0951
Provider Business Mailing Address Details
- Address
- 54 Mount Laurel RD
Hainesport, NJ 08036-2712 - City
- Hainesport
- State
- NJ
- Zip
- 08036-2712
- Phone Number
- 609-261-0951
License Information
- Taxonomy
- Counselor · 101Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselors near Hainesport, NJ
View all Counselors in Hainesport →- Christina MacleodCounselor · NPI 1568360469
- Dr. Bhaven Murji, MD, MSCIFamily Medicine · NPI 1114613684
- Danielle Dundon, PA-CPhysician Assistant · NPI 1447918735
- Marilyn B JoaquinNurse Practitioner · NPI 1740186469
- Dr. Chitra KoderyFamily Medicine · NPI 1538422993
- Arden BradyCounselor, Mental Health · NPI 1356266597
Frequently Asked Questions
What is the NPI number of Susan-Jo Derickson?
The NPI number of Susan-Jo Derickson is 1912369117. It was assigned on March 26, 2016 and is currently active in the NPPES registry.
What is the specialty of Susan-Jo Derickson?
Susan-Jo Derickson is registered under the primary taxonomy Counselor (code 101Y00000X).
Where does Susan-Jo Derickson practice?
The practice location is 54 Mount Laurel RD, Hainesport, NJ 08036-2712. The office can be reached at 609-261-0951 (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 1912369117 directly on the NPPES registry website.