Provider Demographics
NPI:1467776492
Name:JOHN STEPHEN LOCONTE PHD LLC
Entity Type:Organization
Organization Name:JOHN STEPHEN LOCONTE PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:S
Authorized Official - Last Name:LOCONTE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:973-762-7162
Mailing Address - Street 1:697 VALLEY ST
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:MAPLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07040-2641
Mailing Address - Country:US
Mailing Address - Phone:973-762-7162
Mailing Address - Fax:973-762-7164
Practice Address - Street 1:697 VALLEY ST
Practice Address - Street 2:SUITE 2A
Practice Address - City:MAPLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07040-2641
Practice Address - Country:US
Practice Address - Phone:973-762-7162
Practice Address - Fax:973-762-7164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-19
Last Update Date:2010-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35S100359800103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty