Joanne Jackal in Millburn - School

Joanne Jackal - NPI 1174702500

Joanne Jackal is a School in Millburn, New Jersey. Joanne Jackal practices all healthcare services and medical treatments related to School. The NPI Number for Joanne Jackal is 1174702500. The last update date is 2007-11-01.

Joanne Jackal's current location address is 7 Undercliff Rd, Millburn, New Jersey. You can contact this provider via phone number 9735647651 and fax number 9735647651. The mailing address for Joanne Jackal is 7 Undercliff Rd, Millburn, New Jersey. To know further, please read the information below!

Provider Profile Detail

Provider Name Joanne Jackal
Address 7 Undercliff Rd, Millburn, New Jersey
Phone Number 9735647651
Fax Number 9735647651
Sole Proprietor Y
Credentials PH.D, LCSW

NPI Number Detail

NPI Number 1174702500
Provider Enumeration Date 2007-11-01
Last Updated Date 2007-11-01

Provider Mailing Address Detail

Address 7 Undercliff Rd
City Millburn
State New Jersey (NJ)
Post Code 70411509
Phone Number 9735647651
Fax Number 9735647651

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 1041S0200X
Licence No 261268
Definition:
A social worker who provides services and support to students in school settings.

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FAQs about Joanne Jackal

What is the Joanne Jackal's unique identification number?

The Joanne Jackal has been assigned the NPI (National Provider Identifier) Number 1174702500 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please share the complete physical location address where Joanne Jackal's facilities are situated?

The facilities of Joanne Jackal are physically located at the following address: 7 Undercliff Rd, Millburn, NJ, 70411509.

What is Joanne Jackal's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Joanne Jackal is School, and the corresponding taxonomy classification code for this specialized field is 1041S0200X.

On what date did the Joanne Jackal receive the assignment of its 1174702500 from the Centers for Medicare & Medicaid Services?

The Joanne Jackal was issued its 1174702500 by the Centers for Medicare & Medicaid Services on 2007-11-01.

When was the information related to Joanne Jackal most recently updated or refreshed?

The details pertaining to the Joanne Jackal, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-01.

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