Provider Demographics
NPI:1225470032
Name:CETTA, JOSIANA MARIA (PSYD)
Entity Type:Individual
Prefix:DR
First Name:JOSIANA
Middle Name:MARIA
Last Name:CETTA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8004 LINCOLN DR W
Mailing Address - Street 2:SUITE D
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3213
Mailing Address - Country:US
Mailing Address - Phone:215-460-1914
Mailing Address - Fax:
Practice Address - Street 1:8004 LINCOLN DR W
Practice Address - Street 2:SUITE D
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3213
Practice Address - Country:US
Practice Address - Phone:215-460-1914
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-22
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00499500103TC0700X
PAPS017305103TC0700X
NJ816225103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool