Provider Demographics
NPI:1326328642
Name:SCHEICK, JONATHAN (MA, MMH, MT-BC, CBIS)
Entity Type:Individual
Prefix:
First Name:JONATHAN
Middle Name:
Last Name:SCHEICK
Suffix:
Gender:M
Credentials:MA, MMH, MT-BC, CBIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 HIGHWAY 35
Mailing Address - Street 2:SUITE 105-282
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3502
Mailing Address - Country:US
Mailing Address - Phone:732-859-7038
Mailing Address - Fax:
Practice Address - Street 1:1707 ATLANTIC AVE
Practice Address - Street 2:BUILDING 2 SUITE 2
Practice Address - City:MANASQUAN
Practice Address - State:NJ
Practice Address - Zip Code:08736-1147
Practice Address - Country:US
Practice Address - Phone:732-859-7038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist