Provider Demographics
NPI:1326249004
Name:AMABILE, TONI ANN (PH D)
Entity Type:Individual
Prefix:DR
First Name:TONI ANN
Middle Name:
Last Name:AMABILE
Suffix:
Gender:F
Credentials:PH D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 MAXWELL LN
Mailing Address - Street 2:APT 1008
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030
Mailing Address - Country:US
Mailing Address - Phone:201-526-4245
Mailing Address - Fax:973-258-0004
Practice Address - Street 1:447 NORTHFIELD AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:WEST ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07052-3088
Practice Address - Country:US
Practice Address - Phone:973-736-1155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100316300103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical