Provider Demographics
NPI:1033586623
Name:CONERTY, JOSEPH (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:CONERTY
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 FRANKLIN TPKE STE 1-2
Mailing Address - Street 2:
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-1800
Mailing Address - Country:US
Mailing Address - Phone:862-335-0010
Mailing Address - Fax:862-335-0030
Practice Address - Street 1:71 FRANKLIN TPKE STE 1-2
Practice Address - Street 2:
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-1800
Practice Address - Country:US
Practice Address - Phone:862-335-0010
Practice Address - Fax:862-335-0030
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-31
Last Update Date:2022-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY023232103TC0700X
NJ35SI00622900103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical