Provider Demographics
NPI:1376729681
Name:PULCINI, DEAN J (MA, CSW)
Entity Type:Individual
Prefix:MR
First Name:DEAN
Middle Name:J
Last Name:PULCINI
Suffix:
Gender:M
Credentials:MA, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 DUDLEY AVE.
Mailing Address - Street 2:SOUTH JERSEY BEHAVIORAL HEALTH RESOURCES, INC.
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002
Mailing Address - Country:US
Mailing Address - Phone:856-541-1700
Mailing Address - Fax:
Practice Address - Street 1:530 COOPER ST.
Practice Address - Street 2:COSTAR CENTER
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08102
Practice Address - Country:US
Practice Address - Phone:856-541-1700
Practice Address - Fax:856-225-1373
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SW014115001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical