Provider Demographics
NPI:1497744650
Name:YUCHT, PHILIP (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:
Last Name:YUCHT
Suffix:
Gender:M
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 US HIGHWAY 46
Mailing Address - Street 2:
Mailing Address - City:HACKETTSTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07840-2602
Mailing Address - Country:US
Mailing Address - Phone:908-852-9000
Mailing Address - Fax:908-850-6578
Practice Address - Street 1:26 US HIGHWAY 46
Practice Address - Street 2:
Practice Address - City:HACKETTSTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07840-2602
Practice Address - Country:US
Practice Address - Phone:908-852-9000
Practice Address - Fax:908-850-6578
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC001522001041C0700X
NJ37FI00070700106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ641832S2FMedicare PIN