Provider Demographics
NPI:1497345201
Name:BARONE, ANJELICA
Entity Type:Individual
Prefix:DR
First Name:ANJELICA
Middle Name:
Last Name:BARONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1323 OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:MAHWAH
Mailing Address - State:NJ
Mailing Address - Zip Code:07430-3259
Mailing Address - Country:US
Mailing Address - Phone:201-280-1679
Mailing Address - Fax:
Practice Address - Street 1:60 WESTERVELT AVE
Practice Address - Street 2:
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-3201
Practice Address - Country:US
Practice Address - Phone:201-297-9170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist