Provider Demographics
NPI:1407213861
Name:RYZUK, EMILY K (EDS, LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:EMILY
Middle Name:K
Last Name:RYZUK
Suffix:
Gender:F
Credentials:EDS, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 MACCULLOCH AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-9448
Mailing Address - Country:US
Mailing Address - Phone:973-476-1329
Mailing Address - Fax:
Practice Address - Street 1:18 MACCULLOCH AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-9448
Practice Address - Country:US
Practice Address - Phone:973-476-1329
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-15
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00535100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional