Provider Demographics
NPI:1043253065
Name:HONIG, BETTYANN (DCSW)
Entity Type:Individual
Prefix:MRS
First Name:BETTYANN
Middle Name:
Last Name:HONIG
Suffix:
Gender:F
Credentials:DCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 IVY WAY
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07747-1753
Mailing Address - Country:US
Mailing Address - Phone:732-566-6506
Mailing Address - Fax:732-335-1151
Practice Address - Street 1:32 VILLAGE CT
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1533
Practice Address - Country:US
Practice Address - Phone:732-566-6506
Practice Address - Fax:732-335-1151
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001700001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ636999Medicare ID - Type UnspecifiedPROVIDER NUMBER