Provider Demographics
NPI:1275023137
Name:HUY, DANIEL (PSY D)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:HUY
Suffix:
Gender:M
Credentials:PSY D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1024 JASSAMINE WAY FL 2
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-1525
Mailing Address - Country:US
Mailing Address - Phone:207-299-3021
Mailing Address - Fax:
Practice Address - Street 1:87 NJ-17
Practice Address - Street 2:SUITE 118
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607
Practice Address - Country:US
Practice Address - Phone:551-996-4450
Practice Address - Fax:551-996-5729
Is Sole Proprietor?:No
Enumeration Date:2018-05-16
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTP-221-A005103TC0700X
NJ35SI00667200103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical